Individual
MRS. BECKY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
400 GENERAL GEORGE PATTON RD, NASHVILLE, TN 37221-2400
(615) 584-2473
Mailing address
400 GENERAL GEORGE PATTON RD, NASHVILLE, TN 37221-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000002159
TN
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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