Organization
CHILD & FAMILY THERAPY CENTER, PC
Active
Organization
CHILD & FAMILY THERAPY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY WRIGHT RUSSELL LCSW, LMFT, PHD (OWNER)
(704) 664-7148
Entity
Organization
Contact information
Practice address
363 WILLIAMSON RD, SUITE 102, MOORESVILLE, NC 28117-5973
(704) 664-7148
(704) 664-3086
Mailing address
363 WILLIAMSON RD, SUITE 102, MOORESVILLE, NC 28117-5973
(704) 664-7148
(704) 664-3086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C000914
NC
Other
Enumeration date
11/19/2008
Last updated
03/03/2015
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