person
Mr. Jeffrey Scott Russell, LMHC
Mental Health Counselor in New Bedford, Massachusetts
NPI 1154482388

Jeffrey Scott Russell is a Mental Health Counselor based in New Bedford, MA and is specialized in Mental Health. Jeffrey Scott Russell practices in New Bedford, MA and has the professional credentials of LMHC. The NPI Number for Jeffrey Scott Russell is 1154482388 and holds a License No. 5414 (Massachusetts).

The current practice location address for Jeffrey Scott Russell is 333 Union St, New Bedford, MA and can be reached out via phone at 508-990-0852 and via fax at 508-990-4777.

Location: 333 Union St, New Bedford, MA, 02740-3665
person
Provider Profile Details
NPI Number
1154482388
Provider Name
Jeffrey Scott Russell
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
333 Union St, New Bedford, MA, 02740-3665
Phone Number
508-990-0852
Fax Number
508-990-4777
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LM1185 01 MA BCBSMA
institution
Provider Business Practice Location Address Details
Address
333 Union St
City
State
Zip
02740-3665
Phone Number
508-990-0852
Fax Number
508-990-4777
person
Provider Business Mailing Address Details
Address
333 Union St
City
State
Zip
02740-3665
Phone Number
508-990-0852
Fax Number
508-990-4777
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5414 (Massachusetts)
Definition
Definition to come...
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