Individual
DR. FRANKLIN E RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
108 HOLBROOK ST, SUITE 203, DANVILLE, VA 24541-1758
(434) 791-2059
(434) 791-2835
Mailing address
1045 MAIN ST STE 5, COUNSELING AND PSYCHOLOGICAL SERVICES, LLC, DANVILLE, VA 24541-1800
(434) 792-2277
(434) 792-2279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810002043
VA
103TC0700X
Clinical Psychologist
Primary
810002043
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007702353
—
VA
Enumeration date
09/22/2006
Last updated
06/23/2014
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