Individual provider · Type 1 NPI

Ebbie Russett, CMHC

Mental Health Counselor · Clearfield, UT

NPI number 1679907174 Active

Practice location

1785 E 1450 S Ste 300
Clearfield, UT 84015-2299

Call (888) 949-4864 Map

Mailing address

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9149805-6004 (UT)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679907174

Ebbie Russett, CMHC's National Provider Identifier is 1679907174, issued on Sep 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clearfield, UT. The record was last updated on Jun 12, 2020.