Individual provider · Type 1 NPI
Shinah Russell, ED.D.
Professional Counselor · Douglasville, GA
NPI number
1700437514
Active
Practice location
7084 Roselake Cir
Douglasville, GA 30134-1680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC010919 (GA) |
Professional Counselor: Definition to come...
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About NPI 1700437514
Shinah Russell, ED.D.'s National Provider Identifier is 1700437514, issued on Sep 23, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Douglasville, GA. The record was last updated on Sep 23, 2019.