Jeremy J Russell
Jeremy J Russell is a Mental Health Counselor in Danielson, Connecticut. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
71 Westcott RdDanielson, CT 06239-2929
Phone: (860) 731-5522
Fax: (860) 731-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1407639404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 15, 2023 |
| Last updated in NPPES | August 15, 2023 |
| Certification date | August 15, 2023 |
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