Marilyn Dodds Alamillo Russell, MS, CASAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Albany, NY
NPI 1972939478 · NPPES record last updated Sep 17, 2013
Key facts
- NPI
- 1972939478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 24402 (NY)
- Practice address
- 391 Western Ave
Albany, NY 12203-1401 - Phone
- (518) 242-4731
- NPI assigned
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24402 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24402 | NY | Yes |
Addresses
Primary practice location
391 Western Ave
Albany, NY 12203-1401
Mailing address
PO Box 92
Copake, NY 12516-0092
Phone (518) 755-9837
Other providers in Albany, NY
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- Akintunde Mike Akinjero
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- Khalid Ziad Khalid Al-Bawaliz
- Wael Alameen
- Alan Bloomberg MD PC
- Lavanya Alapati
- Raya Zaid Yousef Alashram
- Farah Emadeddin Alazizi
- Amr Albakry
All providers in Albany, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.