Individual
MRS. WHITNEY ASHA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, CSAC-A
Contact information
Practice address
1555 MEADOWVIEW DR STE 5, DANVILLE, VA 24541-7352
(434) 685-1570
Mailing address
130 RAINTREE RD, DANVILLE, VA 24540-1259
(434) 429-4547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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