Individual provider · Type 1 NPI

Brendon Russell

Addiction (Substance Use Disorder) Counselor · Schenectady, NY

NPI number 1285034397 Active

Practice location

600 Franklin St
Schenectady, NY 12305-2107

Fax (518) 372-7064

Mailing address

PO Box 147153
Boston, MA 02241-4153

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X29859 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285034397

Brendon Russell's National Provider Identifier is 1285034397, issued on Aug 26, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Schenectady, NY. The record was last updated on Aug 26, 2014.