Individual
BRANDY R RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
955 CONGRESS PARK DR, CENTERVILLE, OH 45459-4009
(937) 907-1437
(937) 741-4788
Mailing address
955 CONGRESS PARK DR, CENTERVILLE, OH 45459-4009
(937) 907-1437
(937) 741-4788
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0701142
OH
Other
Enumeration date
03/02/2010
Last updated
08/14/2024
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