Individual provider · Type 1 NPI

Robert Bernard Russell

Addiction (Substance Use Disorder) Counselor · St. George, UT

NPI number 1386230514 Active

Practice location

620 S 400 E
St. George, UT 84770-3700

Call (435) 656-8918 Map

Mailing address

99 W 300 S
St. George, UT 84770-3519

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11577525-6018 (UT)

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

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About NPI 1386230514

Robert Bernard Russell's National Provider Identifier is 1386230514, issued on Dec 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. George, UT. The record was last updated on Dec 11, 2020.