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Dalton Lee Russell
Counselor in Kannapolis, North Carolina
NPI 1720231905

Dalton Lee Russell is a Counselor based in Concord, NC. Dalton Lee Russell practices in Kannapolis, NC. The NPI Number for Dalton Lee Russell is 1720231905 and holds a License No. (North Carolina).

The current practice location address for Dalton Lee Russell is 1309 S Cannon Blvd, Kannapolis, NC and can be reached out via phone at 704-933-2212.

Location: 1309 S Cannon Blvd, Kannapolis, NC, 28025-1831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720231905
Provider Name
Dalton Lee Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1309 S Cannon Blvd, Kannapolis, NC, 28025-1831
Phone Number
704-933-2212
Fax Number
Provider Enumeration Date
10/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1309 S Cannon Blvd
City
Kannapolis
State
North Carolina
Zip
28083-6232
Phone Number
704-933-2212
Fax Number
person
Provider Business Mailing Address Details
Address
1309 S Cannon Blvd
City
Kannapolis
State
North Carolina
Zip
28083-6232
Phone Number
704-933-2212
Fax Number
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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