Sandtrice Russell, LPC

NPI #1578007803 in Fairburn, Georgia

Provider Information

NPI Number: 1578007803
Entity Type: Individual
Name: Sandtrice Russell, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Dec 6, 2016
Last Updated: Dec 6, 2016

Practice Location

Address: 7117 WALTON HL
City: Fairburn
State: Georgia
ZIP Code: 30213-7112
Phone: (404) 924-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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