Individual provider · Type 1 NPI
Kelli Russell, M.A.
Mental Health Counselor · Encinitas, CA
NPI number
1679290274
Active
Practice location
2025 Shadytree Ln
Encinitas, CA 92024-3121
Mailing address
270 N El Camino Real # 112F
Encinitas, CA 92024-2874
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 1679290274
Kelli Russell, M.A.'s National Provider Identifier is 1679290274, issued on Oct 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Encinitas, CA. The record was last updated on Oct 24, 2022.