Individual
BRITTANY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 ORCHARD PARK RD, WEST SENECA, NY 14224-2635
(716) 662-6638
(716) 828-1522
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
010948-01
NY
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
010948-01
NY
Other
Enumeration date
07/10/2018
Last updated
02/09/2023
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