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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

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