Individual
LISA PARKES RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15290 RUSSELL DR, ONANCOCK, VA 23417-3004
(757) 710-0550
Mailing address
15290 RUSSELL DR, ONANCOCK, VA 23417-3004
(757) 710-0550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013402
VA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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