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Shonteria Russell
Professional Counselor in Sparta, Tennessee
NPI 1629511787

Shonteria Russell is a Professional Counselor based in Sparta, TN and is specialized in Professional. Shonteria Russell practices in Sparta, TN. The NPI Number for Shonteria Russell is 1629511787 and holds a License No. 3786 (Tennessee).

The current practice location address for Shonteria Russell is 755 Millers Point Rd, Sparta, TN and can be reached out via phone at 931-738-9906.

Location: 755 Millers Point Rd, Sparta, TN, 38583-1236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629511787
Provider Name
Shonteria Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
755 Millers Point Rd, Sparta, TN, 38583-1236
Phone Number
931-738-9906
Fax Number
Provider Enumeration Date
11/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
755 Millers Point Rd
City
Sparta
State
Tennessee
Zip
38583-1236
Phone Number
931-738-9906
Fax Number
person
Provider Business Mailing Address Details
Address
755 Millers Point Rd
City
Sparta
State
Tennessee
Zip
38583-1236
Phone Number
931-738-9906
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
3786 (Tennessee)
Definition
Definition to come...
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