Individual provider · Type 1 NPI

Alexander Russell

Mental Health Counselor · Salt Lake City, UT

NPI number 1427644137 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Mailing address

1595 N Mandalay Rd
Salt Lake City, UT 84116-4130

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1427644137

Alexander Russell's National Provider Identifier is 1427644137, issued on Dec 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 16, 2020.