person
Mary Russell, MSW,LADACII
Addiction (Substance Use Disorder) Counselor in Jackson, Tennessee
NPI 1508321423

Mary Russell is an Addiction (Substance Use Disorder) Counselor based in Jackson, TN and is specialized in Addiction (Substance Use Disorder). Mary Russell practices in Jackson, TN and has the professional credentials of MSW,LADACII. The NPI Number for Mary Russell is 1508321423 and holds a License No. LDC0000000502 (Tennessee).

The current practice location address for Mary Russell is 110 Mccowat St, Jackson, TN and can be reached out via phone at 731-427-7238.

Location: 110 Mccowat St, Jackson, TN, 38301-5279
person
Provider Profile Details
NPI Number
1508321423
Provider Name
Mary Russell
Credential
MSW,LADACII
Provider Entity Type
Individual
Gender
Female
Address
110 Mccowat St, Jackson, TN, 38301-5279
Phone Number
731-427-7238
Fax Number
Provider Enumeration Date
02/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Mccowat St
City
State
Zip
38301-5279
Phone Number
731-427-7238
Fax Number
person
Provider Business Mailing Address Details
Address
110 Mccowat St
City
State
Zip
38301-5279
Phone Number
731-427-7238
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LDC0000000502 (Tennessee)
Definition
Definition to come...
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