Individual
MS. ELLEN ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-AP
Contact information
Practice address
1702 E GREENVILLE ST, ANDERSON, SC 29621-2009
(864) 224-5450
Mailing address
107 COLLINGWOOD DR, ANDERSON, SC 29621-6750
(864) 314-2204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5141
SC
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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