Patrick Russell's National Provider Identifier (NPI) Details
Patrick Russell, LMHC
NPI: 1194483818
Enumeration Date: 2021-11-30
Last updated: 2021-11-30
Sole Proprietor: NO
Status: active
Postal Address: 332 E 4TH ST, JAMESTOWN, NY
Phone: 716-488-1971
Primary Practice Address: 332 E 4TH ST, JAMESTOWN, NY
Practice's phone: 716-488-1971