Individual provider · Type 1 NPI

Susan M. Russell, LCPC

Mental Health Counselor · Bangor, ME

NPI number 1487793907 Active

Practice location

319 Union St
Bangor, ME 04401-4607

Call (207) 942-2199 Map

Mailing address

34 Beechwood Ave
Old Town, ME 04468-9749

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC 2971 (ME)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1487793907

Susan M. Russell, LCPC's National Provider Identifier is 1487793907, issued on Feb 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bangor, ME. The record was last updated on Jun 1, 2009.