Keith Russell
Keith Russell is a Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 4
Practice location Address checks out
1329 N 56th StPhiladelphia, PA 19131-4225
Phone: (267) 258-1568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1952009458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 23, 2023 |
| Last updated in NPPES | February 23, 2023 |
| Certification date | February 23, 2023 |
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