Mary Russell-Wright, LPC

NPI #1588068670 in Tyrone, Georgia

Provider Information

NPI Number: 1588068670
Entity Type: Individual
Name: Mary Russell-Wright, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 104 WORTHINGTON CT
City: Tyrone
State: Georgia
ZIP Code: 30290-1550
Phone: (321) 279-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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