Mr. Michael Corey Russell
Mr. Michael Corey Russell is a Counselor in Davis, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2100 5th StDavis, CA 95616-6591
Phone: (530) 747-3372
Fax: (530) 753-0398
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1659495190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
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