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Individual

NACOLE RUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LGPC, NCC

Contact information

Practice address
1342 S DIVISION ST STE 401, SALISBURY, MD 21804-6921
(443) 859-8584
(443) 859-8496
Mailing address
PO BOX 3009, SALISBURY, MD 21802-3009

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC15280
MD

Other

Enumeration date
10/13/2022
Last updated
07/30/2024
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