RUSSELL OUELLETT NPI 1376870279

NPI Information

Russell Ouellett is a counselor in South Portland, ME. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Russell Ouellett NPI is 1376870279. 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:

525 MAIN ST
SOUTH PORTLAND, ME
ZIP 04106-462
Phone: (207) 874-1045
Fax: (207) 767-0995

The enumeration date for this NPI number is 11/13/2009 and was last updated on 11/13/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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