Individual
TERRENCE RENARD RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13706 HOTOMTOT DR, LARGO, MD 20774-7156
(216) 438-3349
Mailing address
13706 HOTOMTOT DR, LARGO, MD 20774-7156
(216) 438-3349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MD-10275319231
MD
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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