Brittany Russell, Llc | |
113 W Liberty St Ste 201 Charles Town WV 25414-1548 | |
(304) 579-7322 | |
Not Available |
Full Name | Brittany Russell, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 113 W Liberty St Ste 201, Charles Town, West Virginia |
Authorized Official Name and Position | Brittany Russell (LPC/OWNER) |
Authorized Official Contact | 3045797322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brittany Russell, Llc 113 W Liberty St Ste 201 Charles Town WV 25414-1548 Ph: (304) 579-7322 | Brittany Russell, Llc 113 W Liberty St Ste 201 Charles Town WV 25414-1548 Ph: (304) 579-7322 |
NPI Number | 1316764723 |
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Provider Enumeration Date | 09/25/2024 |
Last Update Date | 09/25/2024 |
Certification Date | 09/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316764723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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