Individual
JODIE L RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
868 TREMONT ST, MORGANTOWN, WV 26505-2566
(304) 435-3498
Mailing address
868 TREMONT ST, MORGANTOWN, WV 26505-2566
(304) 435-3498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2074
WV
Other
Enumeration date
05/24/2007
Last updated
11/19/2025
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