Individual
MS. BARBARA T RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1640 POWERS FERRY RD SE, BLDG 16, SUITE 100, MARIETTA, GA 30067-5491
(404) 316-9267
Mailing address
1640 POWERS FERRY RD SE, BLDG 16, SUITE 100, MARIETTA, GA 30067-5491
(404) 316-9267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC007855
GA
101YP2500X
Professional Counselor
Primary
LPC007855
GA
Other
Enumeration date
09/24/2013
Last updated
02/16/2018
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