Individual
ELAINE WORTHAM RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1313 ALFORD AVENUE, PASTORAL CARE AND COUNSELING, BIRMINGHAM, AL 35226
(205) 824-8320
Mailing address
1313 ALFORD AVENUE, PASTORAL CARE AND COUNSELING, BIRMINGHAM, AL 35226
(205) 824-8320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2242
AL
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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