person
Susan M. Russell, LCPC
Mental Health Counselor in Bangor, Maine
NPI 1487793907

Susan M. Russell is a Mental Health Counselor based in Old Town, ME and is specialized in Mental Health. Susan M. Russell practices in Bangor, ME and has the professional credentials of LCPC. The NPI Number for Susan M. Russell is 1487793907 and holds a License No. CC 2971 (Maine).

The current practice location address for Susan M. Russell is 319 Union St, Bangor, ME and can be reached out via phone at 207-942-2199.

Location: 319 Union St, Bangor, ME, 04468-9749
person
Provider Profile Details
NPI Number
1487793907
Provider Name
Susan M. Russell
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
319 Union St, Bangor, ME, 04468-9749
Phone Number
207-942-2199
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231900099 05 ME
institution
Provider Business Practice Location Address Details
Address
319 Union St
City
State
Zip
04401-4607
Phone Number
207-942-2199
Fax Number
person
Provider Business Mailing Address Details
Address
319 Union St
City
State
Zip
04401-4607
Phone Number
207-942-2199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC 2971 (Maine)
Definition
Definition to come...
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