Individual provider · Type 1 NPI
Christina Russell, LICSW
Mental Health Counselor · Orleans, MA
NPI number
1558615534
Active
Practice location
77 Finlay Rd
Orleans, MA 02653-3320
Mailing address
213 Hinckly Rd
Hyannis, MA 02601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 117199 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1558615534
Christina Russell, LICSW's National Provider Identifier is 1558615534, issued on Oct 30, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orleans, MA. The record was last updated on Oct 30, 2012.