person
Mr. John Albert Russell JR.
Counselor in Salisbury, Maryland
NPI 1295300952

John Albert Russell JR. is a Counselor based in Salisbury, MD. John Albert Russell JR. practices in Salisbury, MD. The NPI Number for John Albert Russell JR. is 1295300952 and holds a License No. (Maryland).

The current practice location address for John Albert Russell JR. is 1104 Healthway Dr, Salisbury, MD and can be reached out via phone at 410-219-5483 and via fax at 410-219-5486.

Location: 1104 Healthway Dr, Salisbury, MD, 21802-1978
person
Provider Profile Details
NPI Number
1295300952
Provider Name
John Albert Russell JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1104 Healthway Dr, Salisbury, MD, 21802-1978
Phone Number
410-219-5483
Fax Number
410-219-5486
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140897602 05 MD
140897600 05 MD
institution
Provider Business Practice Location Address Details
Address
1104 Healthway Dr
City
State
Zip
21804-4469
Phone Number
410-219-5483
Fax Number
410-219-5486
person
Provider Business Mailing Address Details
Address
1104 Healthway Dr
City
State
Zip
21804-4469
Phone Number
410-219-5483
Fax Number
410-219-5486
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Maryland)
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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