SANDTRICE RUSSELL, LPC

Counselor - Professional

Active Individual
NPI: 1578007803

Practice Address

7117 WALTON HL
Fairburn, GA 30213

Phone: (404) 924-5560

Specialties

Specialty Code Primary License
Counselor 101Y00000X No LPC009310 (GA)
Counselor - Mental Health 101YM0800X No LPC009310 (GA)
Counselor - Professional 101YP2500X Yes LPC009310 (GA)

Frequently Asked Questions

NPI 1578007803 is the National Provider Identifier for SANDTRICE RUSSELL, LPC, a Counselor - Professional provider located in Fairburn, GA. This NPI was enumerated on December 6, 2016.
SANDTRICE RUSSELL, LPC practices at 7117 WALTON HL, Fairburn, GA 30213.

Quick Facts

NPI
1578007803
Type
Individual
Enumerated
Dec 6, 2016
Last Updated
Dec 6, 2016

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