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Russell Ouellett
Counselor in South Portland, Maine
NPI 1376870279

Russell Ouellett is a Counselor based in So Portland, ME. Russell Ouellett practices in South Portland, ME. The NPI Number for Russell Ouellett is 1376870279 and holds a License No. CAC4234 (Maine).

The current practice location address for Russell Ouellett is 525 Main St, South Portland, ME and can be reached out via phone at 207-874-1045 and via fax at 207-767-0995. You can also correspond with Russell Ouellett through the mailing address at 525 MAIN ST, SO PORTLAND, ME - 04106 (mailing address contact number: 207-874-1045).

Location: 525 Main St, South Portland, ME, 04106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376870279
Provider Name
Russell Ouellett
Credential
Provider Entity Type
Individual
Gender
Male
Address
525 Main St, South Portland, ME, 04106
Phone Number
207-874-1045
Fax Number
207-767-0995
Provider Enumeration Date
11/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
432997799 05 ME
institution
Provider Business Practice Location Address Details
Address
525 Main St
City
South Portland
State
Maine
Zip
04106-5462
Phone Number
207-874-1045
Fax Number
207-767-0995
person
Provider Business Mailing Address Details
Address
525 Main St
City
So Portland
State
Maine
Zip
04106
Phone Number
207-874-1045
Fax Number
207-767-0995
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CAC4234 (Maine)
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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