Annie Russell, LPC Valid NPI
Individual provider · Professional Counselor · Berkeley Lake, GA
- NPI
- 1346785888
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC009369 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-12-19
- Last updated
- 2024-07-18
Practice location
4720 Peachtree Industrial Blvd Ste 4202
Berkeley Lake, GA 30071-5738
(678) 336-6128