Individual provider · Type 1 NPI
Deborah Clarke Russell, LPC-A
Mental Health Counselor · Tyler, TX
NPI number
1336830488
Active
Practice location
606 Woodland Hills Dr
Tyler, TX 75701-8631
Other practice locations
- 4890 32nd Ave SE, Salem, OR 97317-9350 · (503) 588-5647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 96894 (TX) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1336830488
Deborah Clarke Russell, LPC-A's National Provider Identifier is 1336830488, issued on May 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tyler, TX. The record was last updated on Aug 24, 2025.