MR. Cory Anthony Russell, LPCI
NPI #1720498785 in Allendale, South Carolina
Provider Information
- NPI Number
- 1720498785
- Entity Type
- Individual
- Name
- MR. Cory Anthony Russell, LPCI
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCI
- Enumeration Date
- Apr 30, 2014
- Last Updated
- May 9, 2025
Practice Location
- Address
- 438 BARNWELL RD
- City
- Allendale
- State
- South Carolina
- ZIP Code
- 29810
- Phone
- (803) 584-4636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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