Individual provider · Type 1 NPI
Doris Renee Russell, 27512 CASAC
Addiction (Substance Use Disorder) Counselor · Newburgh, NY
NPI number
1437635273
Active
Practice location
3 Commercial Pl
Newburgh, NY 12550-5306
Fax (845) 220-2121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 27512 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1437635273
Doris Renee Russell, 27512 CASAC's National Provider Identifier is 1437635273, issued on Jul 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newburgh, NY. The record was last updated on Jul 16, 2018.