Individual provider · Type 1 NPI
Carl Lee Russell, M.A. DMIN
Professional Counselor · Albuquerque, NM
NPI number
1144690348
Active
Practice location
2030 Moon St NE
Albuquerque, NM 87112-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | T-0177631 (NM) |
Professional Counselor: Definition to come...
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About NPI 1144690348
Carl Lee Russell, M.A. DMIN's National Provider Identifier is 1144690348, issued on Sep 30, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 17, 2015.