Individual provider · Type 1 NPI
Suzanne Busby Russell
Professional Counselor · Jackson, MS
NPI number
1912147109
Active
Practice location
5 Northpointe Cv
Jackson, MS 39211-2912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1284 (MS) |
Professional Counselor: Definition to come...
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About NPI 1912147109
Suzanne Busby Russell's National Provider Identifier is 1912147109, issued on Feb 27, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Feb 27, 2009.