National Provider Identifier
Patrick L Russell, LMHC
Patrick L Russell, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 488-1971.
Profile Overview
- NPI
- 1194483818
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 30, 2021
- Last Updated
- November 30, 2021
Practice Location
- 332 E 4Th St
- Jamestown, NY 14701-5502
Phone: (716) 488-1971
Mailing Address
- 332 E 4Th St
- Jamestown, NY 14701-5598
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1194483818
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Patrick
- Middle Name
- L
- Credential
- LMHC
- Mailing Street Address
- 332 E 4Th St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-5598
- Mailing Country
- US
- Mailing Phone
- (716) 488-1971
- Mailing Fax
- (716) 483-6878
- Practice Street Address
- 332 E 4Th St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5502
- Practice Country
- US
- Practice Phone
- (716) 488-1971
- Practice Fax
- (716) 483-6878
- Enumeration Date
- November 30, 2021
- Last Updated
- November 30, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 30, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)