Angela Russell

NPI #1376665992 in Largo, Maryland

Provider Information

NPI Number: 1376665992
Entity Type: Organization
Organization Name: Angela Russell
Primary Specialty: Psychologist - Counseling
Enumeration Date: Apr 4, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 1300 MERCANTILE LN
Address 2: SUITE 139-J
City: Largo
State: Maryland
ZIP Code: 20774-5327
Phone: (301) 574-5976

Authorized Official

Name: MS. ANGELA L RUSSELL, LCPC
Title: PRESIDENT
Phone: (301) 574-5976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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