Dr. Carl Lee Russell, MADMIN
Dr. Carl Lee Russell, MADMIN is a Professional Counselor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2015.
- Licensed in
- NM
- In the registry since
- 2015
Practice location Address checks out
2030 Moon St NEAlbuquerque, NM 87112-2709
Phone: (505) 298-7620
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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 T-0177631 (NM) |
|---|
Record details
| NPI number | 1144690348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MADMIN |
| Sole proprietor | No |
| NPI enumerated | September 30, 2015 |
| Last updated in NPPES | November 17, 2015 |
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