Individual
AMY RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
896 BEAVERBROOK DR NW, ATLANTA, GA 30318-1603
(512) 771-0356
Mailing address
896 BEAVERBROOK DR NW, ATLANTA, GA 30318-1603
(512) 771-0356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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