Individual provider · Type 1 NPI
Mary Russell-Wright, LPC
Mental Health Counselor · Tyrone, GA
NPI number
1588068670
Active
Practice location
104 Worthington Ct
Tyrone, GA 30290-1550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC 007138 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1588068670
Mary Russell-Wright, LPC's National Provider Identifier is 1588068670, issued on Oct 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tyrone, GA. The record was last updated on Oct 17, 2014.