MRS. JENNIFER ANN RUSSELL MA, CAGS
NPI 1497045033
Counselor - Mental Health in Worcester, MA
Active since April 17, 2011
About Mrs. Jennifer Ann Russell Ma, Cags NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER ANN RUSSELL MA, CAGS (NPI 1497045033) is an individual mental health provider in Worcester, Massachusetts and active in the NPI registry since April 2011.
NPPES Registry Identity
NPI1497045033
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER ANN RUSSELLCredential: MA, CAGS
Location Address13 BARCLAY ST, #2Worcester, MA 01604-4207
Mailing Address13 Barclay St, #2Worcester, MA 01604-4207 · (508) 459-0295
Phone(508) 459-0295
Sole ProprietorYes
Enumeration DateApril 17, 2011
✔ NPI 1497045033 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13 BARCLAY ST, Worcester, MA 01604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497045033, enumerated as an "individual" on April 17, 2011.
The provider is located at 13 BARCLAY ST #2 WORCESTER, MA 01604 and the phone number is (508) 459-0295.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
