Individual
MR. RUSSELL SILVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CRC
Contact information
Practice address
1041 W 10TH ST, INDIANAPOLIS, IN 46204
(317) 412-1169
Mailing address
5938 COPELAND MILLS DR, INDIANAPOLIS, IN 46221-4532
(317) 753-6156
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.014313
IL
101Y00000X
Counselor
39005946A
IN
101YM0800X
Mental Health Counselor
Primary
180.014313
IL
101YM0800X
Mental Health Counselor
39005946A
IN
101YP2500X
Professional Counselor
180.014313
IL
101YP2500X
Professional Counselor
39005946A
IN
Other
Enumeration date
03/07/2022
Last updated
04/03/2026
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