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Danielle Nicole Russell, MED
Counselor in Jefferson City, Missouri
NPI 1609206960

Danielle Nicole Russell is a Counselor based in Jefferson City, MO. Danielle Nicole Russell practices in Jefferson City, MO and has the professional credentials of MED. The NPI Number for Danielle Nicole Russell is 1609206960 and holds a License No. 2013041568 (Missouri).

The current practice location address for Danielle Nicole Russell is 718 W Mccarty St, Jefferson City, MO and can be reached out via phone at 573-690-4511. You can also correspond with Danielle Nicole Russell through the mailing address at 114 N POLK ST, JEFFERSON CITY, MO - 65101-4240 (mailing address contact number: 573-690-4511).

Location: 718 W Mccarty St, Jefferson City, MO, 65101-4240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609206960
Provider Name
Danielle Nicole Russell
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
718 W Mccarty St, Jefferson City, MO, 65101-4240
Phone Number
573-690-4511
Fax Number
Provider Enumeration Date
11/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
718 W Mccarty St
City
Jefferson City
State
Missouri
Zip
65101-1544
Phone Number
573-690-4511
Fax Number
person
Provider Business Mailing Address Details
Address
718 W Mccarty St
City
Jefferson City
State
Missouri
Zip
65101-1544
Phone Number
573-690-4511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2013041568 (Missouri)
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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