person
Challis Evelyn Russell, MA,LPC
Professional Counselor in Myrtle Beach, South Carolina
NPI 1467127175

Challis Evelyn Russell is a Professional Counselor based in Myrtle Beach, SC and is specialized in Professional. Challis Evelyn Russell practices in Myrtle Beach, SC and has the professional credentials of MA,LPC. The NPI Number for Challis Evelyn Russell is 1467127175 and holds a License No. 7920 (South Carolina).

The current practice location address for Challis Evelyn Russell is 141 Mcdonald Ct, Myrtle Beach, SC and can be reached out via phone at 843-294-0646 and via fax at 843-294-0318.

Location: 141 Mcdonald Ct, Myrtle Beach, SC, 29588-6134
person
Provider Profile Details
NPI Number
1467127175
Provider Name
Challis Evelyn Russell
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
141 Mcdonald Ct, Myrtle Beach, SC, 29588-6134
Phone Number
843-294-0646
Fax Number
843-294-0318
Provider Enumeration Date
08/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7920 01 SC LPC.7920 PC
institution
Provider Business Practice Location Address Details
Address
141 Mcdonald Ct
City
State
Zip
29588-6134
Phone Number
843-294-0646
Fax Number
843-294-0318
person
Provider Business Mailing Address Details
Address
141 Mcdonald Ct
City
State
Zip
29588-6134
Phone Number
843-294-0646
Fax Number
843-294-0318
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7920 (South Carolina)
Definition
Definition to come...
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