Organization
MCH/RUSSELL ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL RUSSELL PH.D (MEMBER)
(860) 561-4841
Entity
Organization
Contact information
Practice address
1001 FARMINGTON AVE, SUITE 304, WEST HARTFORD, CT 06107-2135
(860) 561-4841
(860) 561-4891
Mailing address
1001 FARMINGTON AVE, SUITE 304, WEST HARTFORD, CT 06107-2135
(860) 561-4841
(860) 561-4891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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