Individual provider · Type 1 NPI
Anthony R. Russell
Mental Health Counselor · Snoqualmie, WA
NPI number
1629306162
Active
Practice location
6903 Oakmont Ave SE
Snoqualmie, WA 98065-8716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | RC60069117 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1629306162
Anthony R. Russell's National Provider Identifier is 1629306162, issued on Nov 20, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Snoqualmie, WA. The record was last updated on Nov 20, 2009.