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Robert Bernard Russell
Addiction (Substance Use Disorder) Counselor in St George, Utah
NPI 1386230514

Robert Bernard Russell is an Addiction (Substance Use Disorder) Counselor based in St George, UT and is specialized in Addiction (Substance Use Disorder). Robert Bernard Russell practices in St George, UT. The NPI Number for Robert Bernard Russell is 1386230514 and holds a License No. 11577525-6018 (Utah).

The current practice location address for Robert Bernard Russell is 620 S 400 E, St George, UT and can be reached out via phone at 435-656-8918.

Location: 620 S 400 E, St George, UT, 84770-3519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386230514
Provider Name
Robert Bernard Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 S 400 E, St George, UT, 84770-3519
Phone Number
435-656-8918
Fax Number
Provider Enumeration Date
12/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 S 400 E
City
St George
State
Utah
Zip
84770-3700
Phone Number
435-656-8918
Fax Number
person
Provider Business Mailing Address Details
Address
620 S 400 E
City
St George
State
Utah
Zip
84770-3700
Phone Number
435-656-8918
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
11577525-6018 (Utah)
Definition
Definition to come...
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