Individual
STEPHANIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 CROSSROADS BLVD, SUITE 102, BRENTWOOD, TN 37027
(615) 235-5442
Mailing address
7105 CROSSROADS BLVD, SUITE 102, BRENTWOOD, TN 37027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/04/2022
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