Individual provider · Type 1 NPI
Asa Nathanael Russell
Mental Health Counselor · Omaha, NE
NPI number
1104247147
Active
Practice location
4031 Burt St
Omaha, NE 68131-1837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | XL3998 (ME) |
| Mental Health Counselor Primary | 101YM0800X | 13264 (NE) |
Mental Health Counselor: Definition to come...
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About NPI 1104247147
Asa Nathanael Russell's National Provider Identifier is 1104247147, issued on Dec 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Jul 23, 2024.