Crystal A Russell
NPI #1073630851 in Madisonville, Tennessee
Provider Information
- NPI Number
- 1073630851
- Entity Type
- Individual
- Name
- Crystal A Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 520 COOK ST
- Address 2
- SUITE I
- City
- Madisonville
- State
- Tennessee
- ZIP Code
- 37354-1508
- Phone
- (865) 374-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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