person
Dr. Carl Lee Russell, MADMIN
Professional Counselor in Albuquerque, New Mexico
NPI 1144690348

Carl Lee Russell is a Professional Counselor based in Albuquerque, NM and is specialized in Professional. Carl Lee Russell practices in Albuquerque, NM and has the professional credentials of MADMIN. The NPI Number for Carl Lee Russell is 1144690348 and holds a License No. T-0177631 (New Mexico).

The current practice location address for Carl Lee Russell is 2030 Moon St Ne, Albuquerque, NM and can be reached out via phone at 505-298-7620.

Location: 2030 Moon St Ne, Albuquerque, NM, 87112-2709
person
Provider Profile Details
NPI Number
1144690348
Provider Name
Carl Lee Russell
Credential
MADMIN
Provider Entity Type
Individual
Gender
Male
Address
2030 Moon St Ne, Albuquerque, NM, 87112-2709
Phone Number
505-298-7620
Fax Number
Provider Enumeration Date
09/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2030 Moon St Ne
City
State
Zip
87112-2709
Phone Number
505-298-7620
Fax Number
person
Provider Business Mailing Address Details
Address
2030 Moon St Ne
City
State
Zip
87112-2709
Phone Number
505-298-7620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
T-0177631 (New Mexico)
Definition
Definition to come...
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