Individual
JESSICA D. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, LPCA
Contact information
Practice address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 786-8220
Mailing address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 786-8220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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