Individual
DARRYL JEROME RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1000 PARKWOOD CIR SE STE 900, ATLANTA, GA 30339-2140
(404) 590-2890
Mailing address
1000 PARKWOOD CIR SE STE 900, ATLANTA, GA 30339-2140
(404) 590-2890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008016
GA
Other
Enumeration date
02/21/2019
Last updated
05/18/2020
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