MEDICARE: MARGARET 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
1	101YM0800X	Mental Health Counselor	8718226	WI

General Provider Information

NPI Number	:	1720950751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET RUSSELL

Provider Business Mailing Address
First Line	:	1922 N PALMER ST APT 5
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 N 60TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1641
Country	:	US
Telephone Number	:	414-771-2881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ MARGARET RUSSELL ” Practice Location

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