Individual provider · Type 1 NPI

Blake Russell

Professional Counselor · St. Louis, MO

NPI number 1235728585 Active

Practice location

9666 Olive Blvd Ste 400
St. Louis, MO 63132-3025

Call (314) 252-0671 Map

Mailing address

3956 Tholozan Ave
St. Louis, MO 63116-3633

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2018043939 (MO)

Professional Counselor: Definition to come...

8 other providers at this address

Other professional counselor providers in St. Louis

See all in St. Louis →

About NPI 1235728585

Blake Russell's National Provider Identifier is 1235728585, issued on Jan 12, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jan 12, 2021.