Individual
MR. NICHOLAS AARON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1909 CUBA AVE STE 1, ALAMOGORDO, NM 88310-5646
(575) 404-1593
(575) 404-1593
Mailing address
3122 SUMMER AVE, ALAMOGORDO, NM 88310-4062
(575) 404-1593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E0700288S
OH
101YM0800X
Mental Health Counselor
E0700288S
OH
101YP2500X
Professional Counselor
Primary
0206781
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14499905
CAQH
—
05
—
47279061
—
NM
01
—
CCMH0206781
COUNSELING AND THERAPY PRACTICE BOARD OF NEW MEXICO
NM
01
—
E0700288S
STATE OF OHIO COUNSELOR SOCIAL WORK MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
06/11/2010
Last updated
08/16/2023
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