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NPI Code Detail

MEDICARE: LUKE RUSSELL

MEDICARE: LUKE RUSSELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMHCA.MC.70081795WA

General Provider Information

NPI Number : 1831900463
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE RUSSELL
Provider Business Mailing Address
First Line : 135 N OLYMPIC AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1335
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 135 N OLYMPIC AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1335
Country : US
Telephone Number : 425-760-6534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2025
Last Update Date : 02/20/2026

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Directions to “ LUKE RUSSELL ” Practice Location

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