Individual
VENETIA SHERELL TRUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4960 SPRINGHOUSE DRIVE, SPRINGDALE, AR 72762
(479) 725-5224
(479) 750-8967
Mailing address
2400 S. 48TH STREET, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1008090
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/06/2007
Last updated
06/08/2011
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