DR. Teresa Marie Russell, PSYD, LCPC, LCADC
NPI #1134171945 in New Market, Maryland
Provider Information
- NPI Number
- 1134171945
- Entity Type
- Individual
- Name
- DR. Teresa Marie Russell, PSYD, LCPC, LCADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- PSYD, LCPC, LCADC
- Enumeration Date
- May 17, 2006
- Last Updated
- Apr 30, 2025
Practice Location
- Address
- 10299 REINDEER PL
- City
- New Market
- State
- Maryland
- ZIP Code
- 21774-6818
- Phone
- (240) 575-1206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor |
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