Individual
ANNA GRACE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
505 OLD YORK RD., SUITE 110, JENKINTOWN, PA 19046
(215) 598-2038
Mailing address
803 N 17TH ST APT C, PHILADELPHIA, PA 19130-2851
(224) 256-8070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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