Shelby Russell
Counselor, Mental Health in Brandon, MS. Individual provider (NPI-1).
NPI number1902527872
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1902527872
- Entity type
- Individual (NPI-1)
- Name
- Shelby Russell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2022
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
613 Marquette RdBrandon, MS 39042-3038
Phone 601-824-1692
Mailing address
Po Box 88Brandon, MS 39043-0088
Phone 601-824-1692
Other practice locations
1727 N Germantown Pkwy
Cordova, TN 38016-3327
Cordova, TN 38016-3327
Phone 901-509-8347
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All 149 Mental Health Counselor providers in Brandon · All 1,032 providers in Brandon
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