| Catherine Russell Counseling | |
|
1409 Willow St Ste 305 Minneapolis MN 55403-3289 | |
| (612) 325-1905 | |
| (888) 314-7340 |
| Full Name | Catherine Russell Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1409 Willow St Ste 305, Minneapolis, Minnesota |
| Authorized Official Name and Position | Catherine Lenore Russell (OWNER) |
| Authorized Official Contact | 6123251905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Russell Counseling 1409 Willow St Ste 305 Minneapolis MN 55403-3289 Ph: (612) 325-1905 | Catherine Russell Counseling 1409 Willow St Ste 305 Minneapolis MN 55403-3289 Ph: (612) 325-1905 |
| NPI Number | 1568973535 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/19/2017 |
| Medicare PECOS PAC ID | 7719243153 |
|---|---|
| Medicare Enrollment ID | O20171117000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568973535 | NPI | - | NPPES |
| 1235550575 | Medicaid | MN |
| Provider Name | Catherine Lenore Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235550575 PECOS PAC ID: 6608090659 Enrollment ID: I20140612000879 |
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