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1194483818
PATRICK L RUSSELL
JAMESTOWN, NY
NPI
1194483818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 002150-01)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
PATRICK L RUSSELL LMHC
332 E 4TH ST
JAMESTOWN, NY 14701-5502
Phone number: 716-488-1971
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Mailing Address
PATRICK L RUSSELL LMHC
332 E 4TH ST
JAMESTOWN, NY 14701-5598
Phone number: 716-488-1971
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