Search › Maine › 1041C0700X
George Russell, LCSW
NPI 1316182546 · on the registry since 2008 · sole proprietor
Practice
- Address
- 77 Court St
Bangor, ME 04401 - Phone
- (207) 941-0879
- Fax
- (207) 941-0880
- Organisation at this address
- Behavioral Health Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine