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Crystal A Russell
Mental Health Counselor in Madisonville, Tennessee
NPI 1073630851

Crystal A Russell is a Mental Health Counselor based in Knoxville, TN and is specialized in Mental Health. Crystal A Russell practices in Madisonville, TN. The NPI Number for Crystal A Russell is 1073630851 and holds a License No. (Tennessee).

The current practice location address for Crystal A Russell is 520 Cook St, Madisonville, TN and can be reached out via phone at 865-374-7100.

Location: 520 Cook St, Madisonville, TN, 37919-7315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073630851
Provider Name
Crystal A Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
520 Cook St, Madisonville, TN, 37919-7315
Phone Number
865-374-7100
Fax Number
Provider Enumeration Date
03/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 Cook St
City
Madisonville
State
Tennessee
Zip
37354-1508
Phone Number
865-374-7100
Fax Number
person
Provider Business Mailing Address Details
Address
520 Cook St
City
Madisonville
State
Tennessee
Zip
37354-1508
Phone Number
865-374-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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