Individual provider · Type 1 NPI

Stacey Y. Russell

Mental Health Counselor · Chesapeake, VA

NPI number 1821740473 Active

Practice location

1018 River Birch Ct
Chesapeake, VA 23320-2728

Call (757) 572-1748 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1821740473

Stacey Y. Russell's National Provider Identifier is 1821740473, issued on Jan 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chesapeake, VA. The record was last updated on Jan 25, 2022.