Individual
ROSALIE (LEE) A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LCPC
Contact information
Practice address
77 COURT ST, BANGOR, ME 04401-4723
(207) 941-0879
(207) 941-0880
Mailing address
77 COURT ST, BANGOR, ME 04401-4723
(207) 941-0879
(207) 941-0880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1892
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207190099
—
ME
Enumeration date
01/15/2009
Last updated
05/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us