MR. MICHAEL COREY RUSSELL NPI 1659495190

NPI Information

MR. Michael Corey Russell is a counselor in Davis, CA. 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. MR. Michael Corey Russell NPI is 1659495190. 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:

2100 5TH ST
DAVIS, CA
ZIP 95616-591
Phone: (530) 747-3372
Fax: (530) 753-0398

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/8/2007.

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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