DOMINIQUE M RUSSELMAN
NPI 1679855712
Counselor - Mental Health in Saint Helens, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 14, 2011

271 COLUMBIA BLVD, SAINT HELENS, OR 97051(503) 397-0391(503) 366-1067 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dominique M Russelman NPPES

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

DOMINIQUE M RUSSELMAN (NPI 1679855712) is an individual mental health provider in Saint Helens, Oregon and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1679855712

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDOMINIQUE M RUSSELMAN

Location Address271 COLUMBIA BLVDSaint Helens, OR 97051-2021

Mailing Address58646 Mcnulty WaySaint Helens, OR 97051-6210 · (503) 397-5211 · Fax (503) 397-5373

Phone(503) 397-0391

Fax(503) 366-1067

Sole ProprietorYes

Enumeration DateSeptember 14, 2011

✔ NPI 1679855712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

271 COLUMBIA BLVD, Saint Helens, OR 97051

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRIANNE LEA MACELLVEN QMHA

Case Manager/Care Coordinator