Individual provider · Type 1 NPI

Amelia Russell

Mental Health Counselor · Thousand Oaks, CA

NPI number 1750786232 Active

Practice location

125 W Thousand Oaks Blvd, Suite 500
Thousand Oaks, CA 91360-4402

Fax (805) 777-3521

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750786232

Amelia Russell's National Provider Identifier is 1750786232, issued on Oct 27, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thousand Oaks, CA. The record was last updated on Oct 27, 2014.