Individual
KARLI BROOKE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
204 S CRAWFORD ST, WAYCROSS, GA 31503-2612
(912) 282-0992
(912) 285-8817
Mailing address
204 S CRAWFORD ST, WAYCROSS, GA 31503-2612
(912) 282-0992
(912) 285-8817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8193
GA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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