TERESA MARIE RUSSELL

COLUMBIA, MD
NPI1134171945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MD  LC5788)
Additional Taxonomies101Y00000X Counselor
(Licence: NV  CP000009)
101YP2500X Counselor, Professional
(Licence: NV  CP000009)
Enumeration Date2006-05-17
Last Update Date2022-01-07
Business Address
Dr. TERESA MARIE RUSSELL LCPC
10292 CHESTNUT PARK LN
COLUMBIA, MD 21044-4951
Phone number: 240-575-1206
Mailing Address
Dr. TERESA MARIE RUSSELL LCPC
10292 CHESTNUT PARK LN
COLUMBIA, MD 21044-4951
Phone number: 240-575-1206