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Dr. Teresa Marie Russell, LCPC
Professional Counselor in Columbia, Maryland
NPI 1134171945

Teresa Marie Russell is a Professional Counselor based in Columbia, MD and is specialized in Professional. Teresa Marie Russell practices in Columbia, MD and has the professional credentials of LCPC. The NPI Number for Teresa Marie Russell is 1134171945 and holds a License No. CP000009 (Maryland).

The current practice location address for Teresa Marie Russell is 10292 Chestnut Park Ln, Columbia, MD and can be reached out via phone at 240-575-1206.

Location: 10292 Chestnut Park Ln, Columbia, MD, 21044-4951
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Provider Profile Details
NPI Number
1134171945
Provider Name
Teresa Marie Russell
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
10292 Chestnut Park Ln, Columbia, MD, 21044-4951
Phone Number
240-575-1206
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
074657600 05 MD
100507626 05 NV
institution
Provider Business Practice Location Address Details
Address
10292 Chestnut Park Ln
City
State
Zip
21044-4951
Phone Number
240-575-1206
Fax Number
person
Provider Business Mailing Address Details
Address
10292 Chestnut Park Ln
City
State
Zip
21044-4951
Phone Number
240-575-1206
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
CP000009 (Nevada)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CP000009 (Nevada)
Definition
Definition to come...
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