Angela L Russell, LCPC

NPI #1982643094 in Largo, Maryland

Provider Information

NPI Number
1982643094
Entity Type
Individual
Name
Angela L Russell, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Jun 5, 2006
Last Updated
Jul 20, 2007

Practice Location

Address
1400 MERCANTILE LN
Address 2
232
City
Largo
ZIP Code
20774-5341
Phone
(301) 583-0001

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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