Individual
PAMELA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TH. D.
Contact information
Practice address
752 BLANDING BLVD STE 131, ORANGE PARK, FL 32065-5796
(904) 830-0737
(904) 272-6037
Mailing address
752 BLANDING BLVD STE 131, ORANGE PARK, FL 32065-5796
(904) 830-0737
(904) 272-6037
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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