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Keith Russell
Professional Counselor in Philadelphia, Pennsylvania
NPI 1952009458

Keith Russell is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Keith Russell practices in Philadelphia, PA. The NPI Number for Keith Russell is 1952009458 and holds a License No. (Pennsylvania).

The current practice location address for Keith Russell is 1329 N 56Th St, Philadelphia, PA and can be reached out via phone at 267-258-1568.

Location: 1329 N 56Th St, Philadelphia, PA, 19131-4225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952009458
Provider Name
Keith Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1329 N 56Th St, Philadelphia, PA, 19131-4225
Phone Number
267-258-1568
Fax Number
Provider Enumeration Date
02/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1329 N 56Th St
City
Philadelphia
State
Pennsylvania
Zip
19131-4225
Phone Number
267-258-1568
Fax Number
person
Provider Business Mailing Address Details
Address
1329 N 56Th St
City
Philadelphia
State
Pennsylvania
Zip
19131-4225
Phone Number
267-258-1568
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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