Individual provider · Type 1 NPI

Brian Russ, MA, LPC

Professional Counselor · White Cloud, MI

NPI number 1962831206 Active

Practice location

1049 E Newell St
White Cloud, MI 49349-8795

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401008789 (MI)
Mental Health Counselor 101YM0800X6401008789 (MI)
Case Management Agency 251B00000X6401008789 (MI)
Community/Behavioral Health Agency 251S00000X6401008789 (MI)

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About NPI 1962831206

Brian Russ, MA, LPC's National Provider Identifier is 1962831206, issued on Nov 7, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in White Cloud, MI. The record was last updated on Nov 7, 2013.