Organization · Type 2 NPI

Maxine Russell PHD LLC

Mental Health Counselor · Naples, FL

NPI number 1720232804 Active

Practice location

1415 Panther Ln, Suite 216
Naples, FL 34109-7874

Fax (239) 591-6637

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH4166 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1720232804

Maxine Russell PHD LLC's National Provider Identifier is 1720232804, issued on Nov 16, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Naples, FL. The record was last updated on Nov 16, 2008.