person
Brendon Russell
Addiction (Substance Use Disorder) Counselor in Schenectady, New York
NPI 1285034397

Brendon Russell is an Addiction (Substance Use Disorder) Counselor based in Boston, NY and is specialized in Addiction (Substance Use Disorder). Brendon Russell practices in Schenectady, NY. The NPI Number for Brendon Russell is 1285034397 and holds a License No. 29859 (New York).

The current practice location address for Brendon Russell is 600 Franklin St, Schenectady, NY and can be reached out via phone at 518-372-7031 and via fax at 518-372-7064. You can also correspond with Brendon Russell through the mailing address at PO BOX 147153, BOSTON, MA - 02241-4153 (mailing address contact number: 518-952-8140).

Location: 600 Franklin St, Schenectady, NY, 02241-4153
person
Provider Profile Details
NPI Number
1285034397
Provider Name
Brendon Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 Franklin St, Schenectady, NY, 02241-4153
Phone Number
518-372-7031
Fax Number
518-372-7064
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01420800 05 NY
institution
Provider Business Practice Location Address Details
Address
600 Franklin St
City
State
Zip
12305-2107
Phone Number
518-372-7031
Fax Number
518-372-7064
person
Provider Business Mailing Address Details
Address
600 Franklin St
City
State
Zip
12305-2107
Phone Number
518-372-7031
Fax Number
518-372-7064
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
29859 (New York)
Definition
Definition to come...
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