Individual provider · Type 1 NPI

Alisa Russell, M.S.

Mental Health Counselor · Concord, NC

NPI number 1710101209 Active

Practice location

15 Spencer Ave NW
Concord, NC 28025-4316

Call (704) 795-7600 Map

Fax (704) 795-7601

Mailing address

PO Box 1298
Concord, NC 28026-1298

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2008 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1710101209

Alisa Russell, M.S.'s National Provider Identifier is 1710101209, issued on Apr 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, NC. The record was last updated on Jul 8, 2007.