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Stanley Wayne Russell, LPC
Professional Counselor in Battle Creek, Michigan
NPI 1366642761

Stanley Wayne Russell is a Professional Counselor based in Battle Creek, MI and is specialized in Professional. Stanley Wayne Russell practices in Battle Creek, MI and has the professional credentials of LPC. The NPI Number for Stanley Wayne Russell is 1366642761 and holds a License No. 6401010247 (Michigan).

The current practice location address for Stanley Wayne Russell is 4625 Beckley Rd, Battle Creek, MI and can be reached out via phone at 269-979-8119.

Location: 4625 Beckley Rd, Battle Creek, MI, 49015-7948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366642761
Provider Name
Stanley Wayne Russell
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4625 Beckley Rd, Battle Creek, MI, 49015-7948
Phone Number
269-979-8119
Fax Number
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401010247 01 MI STATE OF MICHIGAN LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
4625 Beckley Rd
City
Battle Creek
State
Michigan
Zip
49015-7948
Phone Number
269-979-8119
Fax Number
person
Provider Business Mailing Address Details
Address
4625 Beckley Rd
City
Battle Creek
State
Michigan
Zip
49015-7948
Phone Number
269-979-8119
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401010247 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401010247 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
6401010247 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401010247 (Michigan)
Definition
Definition to come...
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