Michael A Russell
Michael A Russell is a Community/Behavioral Health Agency in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3300 Pennsylvania Ave SEWashington, DC 20020-2408
Phone: (202) 491-9672
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1336849694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2023 |
| Last updated in NPPES | June 28, 2023 |
| Certification date | June 28, 2023 |
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