person
Stephen Paul Russell
Mental Health Counselor in Medford, Oregon
NPI 1245971332

Stephen Paul Russell is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Stephen Paul Russell practices in Medford, OR. The NPI Number for Stephen Paul Russell is 1245971332 and holds a License No. (Oregon).

The current practice location address for Stephen Paul Russell is 503 Airport Rd Ste 101, Medford, OR and can be reached out via phone at 541-200-2900 and via fax at 541-200-2948.

Location: 503 Airport Rd Ste 101, Medford, OR, 97504-4004
person
Provider Profile Details
NPI Number
1245971332
Provider Name
Stephen Paul Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
503 Airport Rd Ste 101, Medford, OR, 97504-4004
Phone Number
541-200-2900
Fax Number
541-200-2948
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
503 Airport Rd Ste 101
City
State
Zip
97504-4159
Phone Number
541-200-2900
Fax Number
541-200-2948
person
Provider Business Mailing Address Details
Address
503 Airport Rd Ste 101
City
State
Zip
97504-4159
Phone Number
541-200-2900
Fax Number
541-200-2948
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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