Individual provider · Type 1 NPI

Angela L. Russell, LCPC

Professional Counselor · Largo, MD

NPI number 1982643094 Active

Practice location

1400 Mercantile Ln, 232
Largo, MD 20774-5341

Fax (301) 583-3403

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC1591 (MD)

Professional Counselor: Definition to come...

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About NPI 1982643094

Angela L. Russell, LCPC's National Provider Identifier is 1982643094, issued on Jun 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Largo, MD. The record was last updated on Jul 20, 2007.