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Ms. Yvonne Marie Russ, LPC,CMAC
Professional Counselor in Newnan, Georgia
NPI 1922251933

Yvonne Marie Russ is a Professional Counselor based in Newnan, GA and is specialized in Professional. Yvonne Marie Russ practices in Newnan, GA and has the professional credentials of LPC,CMAC. The NPI Number for Yvonne Marie Russ is 1922251933 and holds a License No. LPC010434 (Georgia).

The current practice location address for Yvonne Marie Russ is 124 The Ridge Ct, Newnan, GA and can be reached out via phone at 706-573-1058.

Location: 124 The Ridge Ct, Newnan, GA, 30265-1186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922251933
Provider Name
Yvonne Marie Russ
Credential
LPC,CMAC
Provider Entity Type
Individual
Gender
Female
Address
124 The Ridge Ct, Newnan, GA, 30265-1186
Phone Number
706-573-1058
Fax Number
Provider Enumeration Date
11/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1628-R 01 GA CERTIFIED ADDICTION COUNSELOR
institution
Provider Business Practice Location Address Details
Address
124 The Ridge Ct
City
Newnan
State
Georgia
Zip
30265-1186
Phone Number
706-573-1058
Fax Number
person
Provider Business Mailing Address Details
Address
124 The Ridge Ct
City
Newnan
State
Georgia
Zip
30265-1186
Phone Number
706-573-1058
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC010434 (Georgia)
Definition
Definition to come...
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