Individual provider · NPI-1

Marilyn Dodds Alamillo Russell, MS, CASAC

Counselor, Addiction (Substance Use Disorder) · Albany, NY

NPI number1972939478
StatusActive
Last updated in NPPESSep 17, 2013

Details

NPI
1972939478
Entity type
Individual (NPI-1)
Name
Mr. Marilyn Dodds Alamillo Russell
Credential
MS, CASAC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 17, 2013
Last updated
Sep 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)24402NYYes

Practice location

391 Western Ave
Albany, NY 12203-1401

Phone 518-242-4731

Mailing address

Po Box 92
Copake, NY 12516-0092

Phone 518-755-9837

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