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Mr. Michael Corey Russell
Counselor in Davis, California
NPI 1659495190

Michael Corey Russell is a Counselor based in Davis, CA. Michael Corey Russell practices in Davis, CA. The NPI Number for Michael Corey Russell is 1659495190 and holds a License No. (California).

The current practice location address for Michael Corey Russell is 2100 5Th St, Davis, CA and can be reached out via phone at 530-747-3372 and via fax at 530-753-0398.

Location: 2100 5Th St, Davis, CA, 95616-6591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659495190
Provider Name
Michael Corey Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2100 5Th St, Davis, CA, 95616-6591
Phone Number
530-747-3372
Fax Number
530-753-0398
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2100 5Th St
City
Davis
State
California
Zip
95616-6591
Phone Number
530-747-3372
Fax Number
530-753-0398
person
Provider Business Mailing Address Details
Address
2100 5Th St
City
Davis
State
California
Zip
95616-6591
Phone Number
530-747-3372
Fax Number
530-753-0398
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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