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Find providers by NPI
Individual

TAMIKA D RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
81523
TX
251S00000X
Community/Behavioral Health Agency
Primary
81523
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4056772
TX
05
418990401
TX
Enumeration date
11/03/2020
Last updated
02/18/2021
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