Individual
CARLA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 SUN VALLEY DR STE L3, ROSWELL, GA 30076-5630
(404) 482-2951
Mailing address
2774 COBB PKWY NW STE 109-322, KENNESAW, GA 30152-3469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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