JEREMY RUSSELL
Counselor - Mental Health
Active
Individual
NPI: 1407639404
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1407639404 is the National Provider Identifier for JEREMY RUSSELL, a Counselor - Mental Health provider located in Danielson, CT. This NPI was enumerated on August 15, 2023.
JEREMY RUSSELL practices at 71 WESTCOTT RD, Danielson, CT 06239.
Quick Facts
- NPI
- 1407639404
- Type
- Individual
- Enumerated
- Aug 15, 2023
- Last Updated
- Aug 15, 2023
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