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Elizabeth Michele Russell

Counselor in Gloucester, MA. Individual provider (NPI-1).

NPI number1154090470
StatusActive
Last updated in NPPESSep 9, 2021

Details

NPI
1154090470
Entity type
Individual (NPI-1)
Name
Elizabeth Michele Russell
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 9, 2021
Certification date
Sep 2, 2021
Last updated
Sep 9, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

3 Blackburn Ctr
Gloucester, MA 01930-2268

Phone 978-283-7198

Mailing address

3 Blackburn Ctr
Gloucester, MA 01930-2268

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor providers in Gloucester, MA

All 86 Counselor providers in Gloucester · All 630 providers in Gloucester

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