DEREK RUSSELL
NPI 1699291971
Counselor in Alexandria, VA
- Individual
- Male
- Counselor
About DEREK RUSSELL
This page provides the complete NPI Profile along with additional information for Derek Russell, a provider established in Alexandria, Virginia with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1699291971 assigned on August 2017. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1699291971 Verify this NPI
- Provider Name
- DEREK RUSSELL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2121 EISENHOWER AVE STE 604 ALEXANDRIA, VA 22314
- Location Phone
- (703) 684-0334
- Mailing Address
- 8289 DOUBLE POPLARS LN WARRENTON, VA 20187
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2017
- Last Update Date
- 08-17-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699291971, enumerated as an "individual" on August 17, 2017.
The provider is located at 2121 EISENHOWER AVE STE 604 ALEXANDRIA, VA 22314 and the phone number is (703) 684-0334.
Counselor with taxonomy code 101Y00000X.
