Individual
DR. BETHANY R RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.M.H.C.
Contact information
Practice address
44177 KELLY DR, BABCOCK RANCH, FL 33982-5372
(239) 427-1635
Mailing address
44177 KELLY DRIVE, BABCOCK RANCH, FL 33982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22245
FL
Other
Enumeration date
01/01/2024
Last updated
01/02/2026
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