MRS. Joan Colleen Russell, LPC

NPI #1942597455 in Georgetown, Texas

Provider Information

NPI Number: 1942597455
Entity Type: Individual
Name: MRS. Joan Colleen Russell, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jul 5, 2011
Last Updated: Jul 5, 2011

Practice Location

Address: 1504 LEANDER RD
City: Georgetown
State: Texas
ZIP Code: 78628-8801
Phone: (512) 864-0977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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