Individual
MARLANE RUSSELL - WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, RIC
Contact information
Practice address
12309 WOODLAWN CT, WOODBRIDGE, VA 22192-1920
(703) 625-4792
Mailing address
12309 WOODLAWN CT, WOODBRIDGE, VA 22192-1920
(703) 625-4792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1603620
—
VA
Enumeration date
09/06/2022
Last updated
09/06/2022
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