Individual
HOLLY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
111 SALEM TOWNE CT, APEX, NC 27502-2311
(804) 814-7970
Mailing address
1939 NAPOLI DR, APEX, NC 27502-9662
(804) 814-7970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00454
NC
Other
Enumeration date
08/24/2022
Last updated
10/29/2024
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