Individual provider · Type 1 NPI

Russell Jerome Bland, SOCIAL WORKER

Mental Health Counselor · New York, NY

NPI number 1245933696 Active

Practice location

303 9th Ave
New York, NY 10001-5701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1245933696

Russell Jerome Bland, SOCIAL WORKER's National Provider Identifier is 1245933696, issued on Mar 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Mar 24, 2023.