Individual
MS. SUZANNE BUSBY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 NORTHPOINTE CV, JACKSON, MS 39211-2912
(601) 502-7998
Mailing address
5 NORTHPOINTE CV, JACKSON, MS 39211-2912
(601) 502-7998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1284
MS
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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