institution
Maxine Russell Phd Llc
Mental Health Counselor in Naples, Florida
NPI 1720232804

Maxine Russell Phd Llc is a Mental Health Counselor based in Naples, FL and is specialized in Mental Health. Maxine Russell Phd Llc practices in Naples, FL. The NPI Number for Maxine Russell Phd Llc is 1720232804 and holds a License No. MH4166 (Florida).

The current practice location address for Maxine Russell Phd Llc is 1415 Panther Ln, Naples, FL and can be reached out via phone at 239-591-6636 and via fax at 239-591-6637.

Location: 1415 Panther Ln, Naples, FL, 34109-7874
institution
Provider Profile Details
NPI Number
1720232804
Provider Name
Maxine Russell Phd Llc
Credential
Provider Entity Type
Organization
Address
1415 Panther Ln, Naples, FL, 34109-7874
Phone Number
239-591-6636
Fax Number
239-591-6637
Provider Enumeration Date
11/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1415 Panther Ln
City
State
Zip
34109-7874
Phone Number
239-591-6636
Fax Number
239-591-6637
person
Provider Business Mailing Address Details
Address
1415 Panther Ln
City
State
Zip
34109-7874
Phone Number
239-591-6636
Fax Number
239-591-6637
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH4166 (Florida)
Definition
Definition to come...
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