VALERIE RUSSELL LPC
NPI 1780021162
Counselor - Professional in Madison, MS
- Individual
- Female
- Counselor
- Professional
About VALERIE RUSSELL
This page provides the complete NPI Profile along with additional information for Valerie Russell, a provider established in Madison, Mississippi with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1780021162 assigned on May 2013. The practitioner's primary taxonomy code is 101YP2500X with license number 1380 (MS). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1780021162 Verify this NPI
- Provider Name
- VALERIE RUSSELL LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 990 HIGHWAY 51 UNIT 1054 MADISON, MS 39110
- Location Phone
- (769) 233-1616
- Mailing Address
- 990 HIGHWAY 51 UNIT 1054 MADISON, MS 39110
- Mailing Phone
- (769) 233-1616
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-26-2013
- Last Update Date
- 12-21-2013
- 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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1380
- License State
- MS
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780021162, enumerated as an "individual" on May 26, 2013.
The provider is located at 990 HIGHWAY 51 UNIT 1054 MADISON, MS 39110 and the phone number is (769) 233-1616.
Counselor with taxonomy code 101YP2500X and a focus in Professional.