Individual provider · Type 1 NPI
Angela Renee Mullins-Russell
Professional Counselor · Pennington Gap, VA
NPI number
1417069725
Active
Practice location
711 W Morgan Ave
Pennington Gap, VA 24277
Fax (276) 546-5289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701002292 (VA) |
Professional Counselor: Definition to come...
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About NPI 1417069725
Angela Renee Mullins-Russell's National Provider Identifier is 1417069725, issued on Aug 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pennington Gap, VA. The record was last updated on Jul 8, 2007.