WILBURN RUSSELL LPC NPI 1336733971

NPI Information

NPI: 1336733971
Provider Name: WILBURN RUSSELL, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
636 W REPUBLIC RD STE G100
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 862-8282
Get Directions

Wilburn Russell, LPC is a professional counselor in Springfield, MO. Wilburn Russell, LPC NPI is 1336733971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

636 W REPUBLIC RD STE G100
SPRINGFIELD, MO
ZIP 65807-811
Phone: (417) 862-8282
Fax: (417) 862-8805

The enumeration date for this NPI number is 2/24/2021 and was last updated on 2/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	001677	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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