Individual
MRS. ANGELA RENEE MULLINS-RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W MORGAN AVE, PENNINGTON GAP, VA 24277
(276) 546-5289
(276) 546-5289
Mailing address
711 W MORGAN AVE, PENNINGTON GAP, VA 24277
(276) 546-5289
(276) 546-5289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002292
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143331
ANTHEM BLUE CROSS
VA
Enumeration date
08/31/2006
Last updated
07/08/2007
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