Alisa Russell, M.S.
NPI #1710101209 in Concord, North Carolina
Provider Information
- NPI Number
- 1710101209
- Entity Type
- Individual
- Name
- Alisa Russell, M.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.S.
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 SPENCER AVE NW
- City
- Concord
- State
- North Carolina
- ZIP Code
- 28025-4316
- Phone
- (704) 795-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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