person
Brandon Jefferson Russell, LPCA,NCC
Mental Health Counselor in Louisburg, North Carolina
NPI 1386196525

Brandon Jefferson Russell is a Mental Health Counselor based in Louisburg, NC and is specialized in Mental Health. Brandon Jefferson Russell practices in Louisburg, NC and has the professional credentials of LPCA,NCC. The NPI Number for Brandon Jefferson Russell is 1386196525 and holds a License No. A12597 (North Carolina).

The current practice location address for Brandon Jefferson Russell is 104 N Main St, Louisburg, NC and can be reached out via phone at 919-496-7781.

Location: 104 N Main St, Louisburg, NC, 27549-2516
person
Provider Profile Details
NPI Number
1386196525
Provider Name
Brandon Jefferson Russell
Credential
LPCA,NCC
Provider Entity Type
Individual
Gender
Male
Address
104 N Main St, Louisburg, NC, 27549-2516
Phone Number
919-496-7781
Fax Number
Provider Enumeration Date
11/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 N Main St
City
State
Zip
27549-2516
Phone Number
919-496-7781
Fax Number
person
Provider Business Mailing Address Details
Address
104 N Main St
City
State
Zip
27549-2516
Phone Number
919-496-7781
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A12597 (North Carolina)
Definition
Definition to come...
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