DR. JIM RUSSELL PH.D. NPI 1275711459

NPI Information

DR. Jim Russell, PH.D. is a counselor in Saint Louis, MO. 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. DR. Jim Russell, PH.D. NPI is 1275711459. 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:

777 CRAIG RD STE 200
SAINT LOUIS, MO
ZIP 63141-190
Phone: (314) 963-8862
Fax: (314) 918-8943

The enumeration date for this NPI number is 2/10/2008 and was last updated on 10/22/2016.

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:

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