Annie Russell
Pastoral Counselor Professional Counselor
4530 S Berkeley Lake Rd Suite B
Berkeley Lake
, Georgia 30071-1660
Annie Russell
Pastoral Counselor Professional Counselor
4530 S Berkeley Lake Rd Suite B
Berkeley Lake
, Georgia 30071-1660
(770) 446-5643
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About
Features
Specialties
- Pastoral Counselor
- Professional Counselor
Languages spoken
- English
Location
First Address
- Annie Russell
- 4530 S Berkeley Lake Rd Suite B
- Berkeley Lake, GA
- Zip : 30071-1660
- Fax : (770) 446-5643
- Phone : (678) 336-6128
Second Address
- Annie Russell
- 4530 S Berkeley Lake Rd Suite B
- Berkeley Lake, GA
- Zip : 30071-1660
- Fax : (770) 446-5643
- Phone : (678) 336-6128
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YP1600X | Pastoral Counselor | ||
| Y | 101YP2500X | Professional Counselor | LPC009369 | GA |
National Provider Identifier
| NPI | 1346785888 |
|---|---|
| Provider Name | Annie Russell |
| First Address | Berkeley Lake, GA 30071-1660 |
| Second Address | Berkeley Lake, GA 30071-1660 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2016 |
| Last Update Date | 19/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.