Individual
BRANDI RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2870 N MAIN ST, PARIS, TX 75460-9357
(903) 737-2475
(903) 737-2479
Mailing address
PO BOX 747, TERRELL, TX 75160-0014
(903) 737-2475
(903) 737-2479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73563
TX
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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