MR. MICHAEL COREY RUSSELL
NPI 1659495190
Counselor in Davis, CA

Active since March 19, 2007
2100 5TH ST, DAVIS, CA 95616(530) 747-3372(530) 753-0398 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Michael Corey Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL COREY RUSSELL (NPI 1659495190) is an individual counselor in Davis, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659495190
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. MICHAEL COREY RUSSELL
Location Address2100 5TH STDavis, CA 95616-6591
Mailing Address2100 5th StDavis, CA 95616-6591 · (530) 747-3372 · Fax (530) 753-0398
Fax(530) 753-0398
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1659495190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

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.

2100 5TH ST, Davis, CA 95616

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Social Worker
2100 5TH ST
DAVIS, CA 95616
Marriage & Family Therapist
2100 5TH ST
DAVIS, CA 95616
Social Worker
2100 5TH ST
DAVIS, CA 95616
Marriage & Family Therapist
2100 5TH ST
DAVIS, CA 95616
Marriage & Family Therapist
2100 5TH ST
DAVIS, CA 95616
Counselor (Mental Health)
2100 5TH ST
DAVIS, CA 95616
Counselor (Mental Health)
2100 5TH ST
DAVIS, CA 95616
Marriage & Family Therapist
2100 5TH ST
DAVIS, CA 95616
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2100 5TH ST
DAVIS, CA 95616
Counselor
2100 5TH ST
DAVIS, CA 95616
Counselor
2100 5TH ST
DAVIS, CA 95616
Counselor
2100 5TH ST
DAVIS, CA 95616
Counselor
2100 5TH ST
DAVIS, CA 95616
Counselor
2100 5TH ST
DAVIS, CA 95616
Counselor
2100 5TH ST
DAVIS, CA 95616
Counselor (Mental Health)
2100 5TH ST
DAVIS, CA 95616
Counselor (Mental Health)
2100 5TH ST
DAVIS, CA 95616
Rehabilitation Practitioner
2100 5TH ST
DAVIS, CA 95616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659495190, enumerated as an "individual" on March 19, 2007.

The provider is located at 2100 5TH ST DAVIS, CA 95616 and the phone number is (530) 747-3372.

Counselor with taxonomy code 101Y00000X.