DR. SUSAN RUSSELL, PHD,THD, L.AC.,LMSW

Acupuncturist

Active Individual
NPI: 1558644617

Practice Address

4343 SHALLOWFORD RD
SUITE H-5
Marietta, GA 30062

Phone: (770) 552-4155

Specialties

Specialty Code Primary License
Psychologist - Addiction (Substance Use Disorder) 103TA0400X No 001798 LMSW (GA)
Psychologist - Family 103TF0000X No 1798 LMSW (GA)
Acupuncturist 171100000X Yes 87 (GA)

Frequently Asked Questions

NPI 1558644617 is the National Provider Identifier for DR. SUSAN RUSSELL, PHD,THD, L.AC.,LMSW, a Acupuncturist provider located in Marietta, GA. This NPI was enumerated on September 26, 2011.
DR. SUSAN RUSSELL, PHD,THD, L.AC.,LMSW practices at 4343 SHALLOWFORD RD, SUITE H-5, Marietta, GA 30062.

Quick Facts

NPI
1558644617
Type
Individual
Enumerated
Sep 26, 2011
Last Updated
Sep 26, 2011

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