Organization
DR PAM RUSSELL SERVICES
Active
Other names
Dr Pam Russell LLC, Dr. Pam Russell, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA RUSSELL RUSSELL THD (CEO)
(904) 830-0737
Entity
Organization
Contact information
Practice address
752 BLANDING BLVD STE 131, ORANGE PARK, FL 32065-5796
(904) 830-0737
Mailing address
752 BLANDING BLVD STE 131, ORANGE PARK, FL 32065-5796
(904) 830-0737
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
08/13/2024
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