Individual
ALLISON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5705 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23464-9152
(757) 279-8058
Mailing address
5705 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23464-9152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012271
VA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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