Individual
DR. RUSSELL PARRISH CARLTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN, LPC, LMFT
Contact information
Practice address
22636 GLENN DR, SUITE 105, STERLING, VA 20164-4494
(703) 544-9778
Mailing address
22636 GLENN DR STE 105, STERLING, VA 20164-4442
(703) 544-9778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002039
VA
106H00000X
Marriage & Family Therapist
Primary
0717000089
VA
106H00000X
Marriage & Family Therapist
3476
TX
106H00000X
Marriage & Family Therapist
521
NC
Other
Enumeration date
08/31/2006
Last updated
12/17/2019
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