Individual
VALERIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
990 HIGHWAY 51 UNIT 1054, MADISON, MS 39110-8409
(769) 233-1616
Mailing address
990 HIGHWAY 51 UNIT 1054, MADISON, MS 39110-8409
(769) 233-1616
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1380
MS
Other
Enumeration date
05/26/2013
Last updated
12/21/2013
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