Individual provider · Type 1 NPI

Derek Russell

Counselor · Alexandria, VA

NPI number 1699291971 Active

Practice location

2121 Eisenhower Ave Ste 604
Alexandria, VA 22314-4688

Call (703) 684-0334 Map

Mailing address

8289 Double Poplars Ln
Warrenton, VA 20187-8313

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1699291971

Derek Russell's National Provider Identifier is 1699291971, issued on Aug 17, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Alexandria, VA. The record was last updated on Aug 17, 2017.