Individual provider · Type 1 NPI
Michael James Russell, LMHC
Mental Health Counselor · Jacksonville, FL
NPI number
1700478641
Active
Practice location
1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032
Mailing address
PO Box 24449
New York, NY 10087-0589
Other practice locations
- 368 Veterans Memorial Hwy Ste 3, Commack, NY 11725-4322 · (631) 533-0315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 011062 (NY) |
| Mental Health Counselor Primary | 101YM0800X | MH-23263 (FL) |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Jacksonville
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- Dawn S. Liphart, LMHCMental Health Counselor Jacksonville, FL NPI 1003108986
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- Sergio PerezMental Health Counselor Jacksonville, FL NPI 1003300559
- Haley Morris, MT3617; LMHC 16443Mental Health Counselor Jacksonville, FL NPI 1003367343
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About NPI 1700478641
Michael James Russell, LMHC's National Provider Identifier is 1700478641, issued on Feb 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 30, 2024.