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Stephanie Michelle Russell
Mental Health Counselor in Bethpage, New York
NPI 1568070316

Stephanie Michelle Russell is a Mental Health Counselor based in Brooklyn, NY and is specialized in Mental Health. Stephanie Michelle Russell practices in Bethpage, NY. The NPI Number for Stephanie Michelle Russell is 1568070316 and holds a License No. 009894 (New York).

The current practice location address for Stephanie Michelle Russell is 1211 Stewart Ave Ste 100, Bethpage, NY and can be reached out via phone at 399-851-6465.

Location: 1211 Stewart Ave Ste 100, Bethpage, NY, 11215-8136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568070316
Provider Name
Stephanie Michelle Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1211 Stewart Ave Ste 100, Bethpage, NY, 11215-8136
Phone Number
399-851-6465
Fax Number
Provider Enumeration Date
07/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1211 Stewart Ave Ste 100
City
Bethpage
State
New York
Zip
11714-1601
Phone Number
399-851-6465
Fax Number
person
Provider Business Mailing Address Details
Address
1211 Stewart Ave Ste 100
City
Bethpage
State
New York
Zip
11714-1601
Phone Number
399-851-6465
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
009894 (New York)
Definition
Definition to come...
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