Individual provider · Type 1 NPI

Taylor Russell

Counselor · Gaithersburg, MD

NPI number 1902652365 Active

Practice location

845 Quince Orchard Blvd Ste F
Gaithersburg, MD 20878-1676

Mailing address

346 Urban Ave
Gaithersburg, MD 20878-4054

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLGP17102

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 1902652365

Taylor Russell's National Provider Identifier is 1902652365, issued on Apr 26, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gaithersburg, MD. The record was last updated on Oct 7, 2025.