Individual
TOBI YVETTE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LLP
Contact information
Practice address
130 HAMPTON CIR STE 130, ROCHESTER HILLS, MI 48307-4113
(248) 266-6166
(248) 841-4714
Mailing address
130 HAMPTON CIR STE 130, ROCHESTER HILLS, MI 48307-4113
(248) 266-6166
(248) 841-4714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010934
MI
103T00000X
Psychologist
6301012174
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1882825
—
MI
Enumeration date
01/24/2007
Last updated
02/10/2024
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