person
Mr. Randolph Graham Russ, MA
Mental Health Counselor in Wellington, Florida
NPI 1437326873

Randolph Graham Russ is a Mental Health Counselor based in Wellington, FL and is specialized in Mental Health. Randolph Graham Russ practices in Wellington, FL and has the professional credentials of MA. The NPI Number for Randolph Graham Russ is 1437326873 and holds a License No. MH0002620 (Florida).

The current practice location address for Randolph Graham Russ is 2190 Sunderland Ave, Wellington, FL and can be reached out via phone at 561-201-7180.

Location: 2190 Sunderland Ave, Wellington, FL, 33414
person
Provider Profile Details
NPI Number
1437326873
Provider Name
Randolph Graham Russ
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2190 Sunderland Ave, Wellington, FL, 33414
Phone Number
561-201-7180
Fax Number
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2190 Sunderland Ave
City
State
Zip
33414-7722
Phone Number
561-201-7180
Fax Number
person
Provider Business Mailing Address Details
Address
2190 Sunderland Ave
City
State
Zip
33414-7722
Phone Number
561-201-7180
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH0002620 (Florida)
Definition
Definition to come...
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