Organization
ANGELA RUSSELL
Active
Other names
In Search Of Peace, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA L RUSSELL LCPC (PRESIDENT)
(301) 574-5976
Entity
Organization
Contact information
Practice address
1300 MERCANTILE LN, SUITE 139-J, LARGO, MD 20774-5327
(301) 574-5976
(301) 574-5986
Mailing address
16306 BROOKTRAIL CT, UPPER MARLBORO, MD 20772-3272
(301) 574-5976
(301) 574-5986
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LC1591
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000940700
—
MD
Enumeration date
04/04/2007
Last updated
06/25/2008
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