Individual provider · Type 1 NPI

Katie-Lynn Russell

Counselor · Riverhead, NY

NPI number 1790453181 Active

Practice location

400 W Main St Ste 300
Riverhead, NY 11901-2813

Call (631) 369-0104 Map

Mailing address

790 Park Ave
Huntington, NY 11743-4516

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 1790453181

Katie-Lynn Russell's National Provider Identifier is 1790453181, issued on Sep 1, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Riverhead, NY. The record was last updated on Sep 1, 2021.