Tommy Russell, LPC A
NPI #1265242259 in Fredericksburg, Texas
Provider Information
- NPI Number
- 1265242259
- Entity Type
- Individual
- Name
- Tommy Russell, LPC A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC A
- Enumeration Date
- Jan 10, 2025
- Last Updated
- Jan 10, 2025
Practice Location
- Address
- 103 INDUSTRIAL LOOP STE 900
- City
- Fredericksburg
- State
- Texas
- ZIP Code
- 78624-5463
- Phone
- (803) 998-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Pastoral — Pastoral |
| Counselor - Professional — Professional |
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