Allen Floyd Russell
Allen Floyd Russell is a Mental Health Counselor in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 6
Practice location Address checks out
4488 Breton Rd SEGrand Rapids, MI 49508-5270
Phone: (616) 340-9026
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Specialties & licences
| Adult Development & Aging Psychologist (primary) | Taxonomy 103TA0700X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Social Worker | Taxonomy 104100000X |
| Meals Provider | Taxonomy 174200000X |
| Physical Therapist | Taxonomy 225100000X |
| Alzheimer Center (Dementia Center) | Taxonomy 311500000X |
Record details
| NPI number | 1033826136 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 29, 2022 |
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