person
Annie Russell, LPC
Professional Counselor in Berkeley Lake, Georgia
NPI 1346785888

Annie Russell is a Professional Counselor based in Berkeley Lake, GA and is specialized in Professional. Annie Russell practices in Berkeley Lake, GA and has the professional credentials of LPC. The NPI Number for Annie Russell is 1346785888 and holds a License No. (Georgia).

The current practice location address for Annie Russell is 4720 Peachtree Industrial Blvd Ste 4202, Berkeley Lake, GA and can be reached out via phone at 678-336-6128.

Location: 4720 Peachtree Industrial Blvd Ste 4202, Berkeley Lake, GA, 30071-5738
person
Provider Profile Details
NPI Number
1346785888
Provider Name
Annie Russell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4720 Peachtree Industrial Blvd Ste 4202, Berkeley Lake, GA, 30071-5738
Phone Number
678-336-6128
Fax Number
Provider Enumeration Date
12/19/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
4720 Peachtree Industrial Blvd Ste 4202
City
State
Zip
30071-5738
Phone Number
678-336-6128
Fax Number
person
Provider Business Mailing Address Details
Address
4720 Peachtree Industrial Blvd Ste 4202
City
State
Zip
30071-5738
Phone Number
678-336-6128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
LPC009369 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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