Individual
MS. JULIE BANNER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14 MOSSWOOD CIR, AMHERST, NH 03031-1944
(603) 670-6449
Mailing address
PO BOX 381, AMHERST, NH 03031-0381
(603) 670-6449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016184
MA
1041C0700X
Clinical Social Worker
2067
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000P05767
BCBS
MA
01
—
007162
VALUE OPTIONS
MA
01
—
62-01666
UNITED BEHAVIORAL HEALTH
MA
01
—
773415
TUFTS HEALTH PLAN
MA
01
—
P05767
BCBSMA
MA
Enumeration date
07/27/2006
Last updated
01/15/2026
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