Individual
BRANDON J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W FRIENDLY AVE, GREENSBORO, NC 27401-1808
(252) 432-5224
Mailing address
1000 W FRIENDLY AVE, GREENSBORO, NC 27401-1808
(252) 432-5224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12597
NC
Other
Enumeration date
11/03/2016
Last updated
11/05/2025
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