Individual
DR. BARBARA J DUBOIS RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, LMHC, NCC
Contact information
Practice address
2925 CANOE CREEK RD, SAINT CLOUD, FL 34772-6504
(407) 552-7339
(407) 891-2175
Mailing address
4485 BRADY RD, SAINT CLOUD, FL 34772
(407) 552-7339
(407) 891-2175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8825
FL
Other
Enumeration date
05/07/2007
Last updated
01/27/2012
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