Individual provider · Type 1 NPI
Shayla Russell
Mental Health Counselor · Appleton, WI
NPI number
1174080063
Active
Practice location
Outagamie County Health And Human Services, 320 S. Walnut St.
Appleton, WI 54911
Fax (920) 832-5488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2813-226 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1174080063
Shayla Russell's National Provider Identifier is 1174080063, issued on Feb 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Appleton, WI. The record was last updated on Feb 27, 2019.