Individual
DARLEEN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 20053, PHILADELPHIA, PA 19145-0353
(267) 992-1081
Mailing address
PO BOX 20053, PHILADELPHIA, PA 19145-0353
(267) 992-1081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC000802
PA
101YP2500X
Professional Counselor
Primary
APC000802
PA
Other
Enumeration date
02/01/2025
Last updated
02/24/2025
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