Stephen Paul Russell
Stephen Paul Russell is a Mental Health Counselor in Medford, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
503 Airport Rd Ste 101Medford, OR 97504-4159
Phone: (541) 200-2900
Fax: (541) 200-2948
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1245971332 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 4, 2022 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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