person
Mr. Cory Anthony Russell, LPCI
Mental Health Counselor in Allendale, South Carolina
NPI 1720498785

Cory Anthony Russell is a Mental Health Counselor based in Beaufort, SC and is specialized in Mental Health. Cory Anthony Russell practices in Allendale, SC and has the professional credentials of LPCI. The NPI Number for Cory Anthony Russell is 1720498785 and holds a License No. 6131 (South Carolina).

The current practice location address for Cory Anthony Russell is 438 Barnwell Rd, Allendale, SC and can be reached out via phone at 803-584-4636.

Location: 438 Barnwell Rd, Allendale, SC, 29902-5400
person
Provider Profile Details
NPI Number
1720498785
Provider Name
Cory Anthony Russell
Credential
LPCI
Provider Entity Type
Individual
Gender
Male
Address
438 Barnwell Rd, Allendale, SC, 29902-5400
Phone Number
803-584-4636
Fax Number
Provider Enumeration Date
04/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
438 Barnwell Rd
City
State
Zip
29810
Phone Number
803-584-4636
Fax Number
person
Provider Business Mailing Address Details
Address
438 Barnwell Rd
City
State
Zip
29810
Phone Number
803-584-4636
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6131 (South Carolina)
Definition
Definition to come...
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