Individual provider · Type 1 NPI

Amanda Roseanne Russell, M.A.

Mental Health Counselor · Eugene, OR

NPI number 1811268444 Active

Practice location

1790 W 11th Ave Ste A
Eugene, OR 97402-3780

Call (541) 868-0661 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811268444

Amanda Roseanne Russell, M.A.'s National Provider Identifier is 1811268444, issued on Jan 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jan 12, 2012.