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Organization

CHARLOTTE K TRUSSELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLOTTE KAY TRUSSELL LPC-MHSP (MENTAL HEALTH COUNSELOR (OWNER))
(910) 364-6834
Entity
Organization

Contact information

Practice address
1816 MEMORIAL CIR, CLARKSVILLE, TN 37043-4539
(910) 364-6834
Mailing address
1816 MEMORIAL CIR, CLARKSVILLE, TN 37043-4539
(910) 364-6834

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/09/2020
Last updated
04/22/2022
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