Russell, Mark Charles

Russell, Mark Charles is an individual health care provider with primary practice located at Usnh Yokosuka Japan Psc 475 Box 1, Fpo AP 96350. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Russell, Mark Charles can be contacted via phone (011) 814-6816.

Contact Information

Primary practice address
Usnh Yokosuka Japan Psc 475 Box 1 Fpo AP 96350
Phone: (011) 814-6816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PY00002607 Washington
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY00002607 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002607 Washington
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY00002607 Washington
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY00002607 Washington
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PY00002607 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00002607 Washington
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PY00002607 Washington

Profile Details

NPI number 1518942770
LBN Legal business name Russell, Mark Charles
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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