Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy K Russell, MA, QMHP

Individual provider Mental Health Counselor · NPI 1396923074

Jeremy K Russell, MA, QMHP is a Mental Health Counselor in Cottage Grove, Oregon. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

410 N 9th St
Cottage Grove, OR 97424-1307
Phone: (541) 942-2850
Fax: (541) 942-1574
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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 number1396923074
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , QMHP
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESFebruary 5, 2008

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