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Jonathan Bo Russell, MA
Counselor in Oakland, California
NPI 1083265805

Jonathan Bo Russell is a Counselor based in Oakland, CA. Jonathan Bo Russell practices in Oakland, CA and has the professional credentials of MA. The NPI Number for Jonathan Bo Russell is 1083265805 and holds a License No. (California).

The current practice location address for Jonathan Bo Russell is 390 40Th St, Oakland, CA and can be reached out via phone at 714-883-5762.

Location: 390 40Th St, Oakland, CA, 94609-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083265805
Provider Name
Jonathan Bo Russell
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
390 40Th St, Oakland, CA, 94609-2633
Phone Number
714-883-5762
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
714-883-5762
Fax Number
person
Provider Business Mailing Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
714-883-5762
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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