person
Kirsten Charmain Russell
Mental Health Counselor in Lucedale, Mississippi
NPI 1851923858

Kirsten Charmain Russell is a Mental Health Counselor based in Lucedale, MS and is specialized in Mental Health. Kirsten Charmain Russell practices in Lucedale, MS. The NPI Number for Kirsten Charmain Russell is 1851923858 and holds a License No. (Mississippi).

The current practice location address for Kirsten Charmain Russell is 57 Industrial Park Rd, Lucedale, MS and can be reached out via phone at 601-947-4274 and via fax at 601-947-4275.

Location: 57 Industrial Park Rd, Lucedale, MS, 39452-6656
person
Provider Profile Details
NPI Number
1851923858
Provider Name
Kirsten Charmain Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
57 Industrial Park Rd, Lucedale, MS, 39452-6656
Phone Number
601-947-4274
Fax Number
601-947-4275
Provider Enumeration Date
02/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000181214 05 MS
institution
Provider Business Practice Location Address Details
Address
57 Industrial Park Rd
City
State
Zip
39452-6583
Phone Number
601-947-4274
Fax Number
601-947-4275
person
Provider Business Mailing Address Details
Address
57 Industrial Park Rd
City
State
Zip
39452-6583
Phone Number
601-947-4274
Fax Number
601-947-4275
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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