Individual provider · Type 1 NPI

Jim Russell, PhD

Counselor · St. Louis, MO

NPI number 1275711459 Active

Practice location

777 Craig Rd Ste 200
St. Louis, MO 63141-7190

Call (314) 963-8862 Map

Fax (314) 918-8943

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X001736 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6 other providers at this address

Other counselor providers in St. Louis

See all in St. Louis →

About NPI 1275711459

Jim Russell, PhD's National Provider Identifier is 1275711459, issued on Feb 10, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 22, 2016.