Individual provider · Type 1 NPI
Jennifer Ann Russell, MA, CAGS
Mental Health Counselor · Worcester, MA
NPI number
1497045033
Active
Practice location
13 Barclay St, #2
Worcester, MA 01604-4207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1497045033
Jennifer Ann Russell, MA, CAGS's National Provider Identifier is 1497045033, issued on Apr 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Apr 17, 2011.