person
Mrs. Angela Renee Mullins-russell
Professional Counselor in Pennington Gap, Virginia
NPI 1417069725

Angela Renee Mullins-russell is a Professional Counselor based in Pennington Gap, VA and is specialized in Professional. Angela Renee Mullins-russell practices in Pennington Gap, VA. The NPI Number for Angela Renee Mullins-russell is 1417069725 and holds a License No. 0701002292 (Virginia).

The current practice location address for Angela Renee Mullins-russell is 711 W Morgan Ave, Pennington Gap, VA and can be reached out via phone at 276-546-5289 and via fax at 276-546-5289.

Location: 711 W Morgan Ave, Pennington Gap, VA, 24277
person
Provider Profile Details
NPI Number
1417069725
Provider Name
Angela Renee Mullins-russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
711 W Morgan Ave, Pennington Gap, VA, 24277
Phone Number
276-546-5289
Fax Number
276-546-5289
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143331 01 VA ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
711 W Morgan Ave
City
State
Zip
24277
Phone Number
276-546-5289
Fax Number
276-546-5289
person
Provider Business Mailing Address Details
Address
711 W Morgan Ave
City
State
Zip
24277
Phone Number
276-546-5289
Fax Number
276-546-5289
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701002292 (Virginia)
Definition
Definition to come...
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