Blake Russell
Blake Russell is a Professional Counselor in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2021.
- Licensed in
- MO
- In the registry since
- 2021
Practice location Address checks out
9666 Olive Blvd Ste 400Saint Louis, MO 63132-3025
Phone: (314) 252-0671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 2018043939 (MO) |
|---|
Record details
| NPI number | 1235728585 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | January 12, 2021 |
| Certification date | January 12, 2021 |
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