Individual
ALLISON M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1570 WAVERLY RD, KINGSPORT, TN 37664-2523
(423) 224-1300
(423) 467-3644
Mailing address
211 BROWN AVE, JOHNSON CITY, TN 37601-2005
(423) 737-4599
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3987
TN
Other
Enumeration date
12/03/2012
Last updated
03/02/2023
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