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Michael James Russell, LMHC
Professional Counselor in Commack, New York
NPI 1700478641

Michael James Russell is a Professional Counselor based in Lindenhurst, NY and is specialized in Professional. Michael James Russell practices in Commack, NY and has the professional credentials of LMHC. The NPI Number for Michael James Russell is 1700478641 and holds a License No. 011062 (New York).

The current practice location address for Michael James Russell is 368 Veterans Memorial Hwy Ste 3, Commack, NY and can be reached out via phone at 631-533-0315.

Location: 368 Veterans Memorial Hwy Ste 3, Commack, NY, 11757-5623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700478641
Provider Name
Michael James Russell
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
368 Veterans Memorial Hwy Ste 3, Commack, NY, 11757-5623
Phone Number
631-533-0315
Fax Number
Provider Enumeration Date
02/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
368 Veterans Memorial Hwy Ste 3
City
Commack
State
New York
Zip
11725-4322
Phone Number
631-533-0315
Fax Number
person
Provider Business Mailing Address Details
Address
368 Veterans Memorial Hwy Ste 3
City
Commack
State
New York
Zip
11725-4322
Phone Number
631-533-0315
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
011062 (New York)
Definition
Definition to come...
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