ANTHONY R RUSSELL
NPI 1629306162
Counselor - Mental Health in Snoqualmie, WA
Active since November 20, 2009
About Anthony R Russell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY R RUSSELL (NPI 1629306162) is an individual mental health provider in Snoqualmie, Washington, licensed in Washington (RC60069117) and active in the NPI registry since November 2009.
NPPES Registry Identity
NPI1629306162
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTHONY R RUSSELL
Location Address6903 OAKMONT AVE SESnoqualmie, WA 98065-8716
Mailing Address6903 Oakmont Ave SeSnoqualmie, WA 98065-8716 · (425) 999-6127
Phone(425) 999-6127
Sole ProprietorYes
Enumeration DateNovember 20, 2009
✔ NPI 1629306162 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · RC60069117
6903 OAKMONT AVE SE, Snoqualmie, WA 98065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629306162, enumerated as an "individual" on November 20, 2009.
The provider is located at 6903 OAKMONT AVE SE SNOQUALMIE, WA 98065 and the phone number is (425) 999-6127.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
