BRANDON JEFFERSON RUSSELL

LOUISBURG, NC
NPI1386196525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A12597)
Enumeration Date2016-11-03
Last Update Date2019-07-23
Business Address
BRANDON JEFFERSON RUSSELL LPCA, NCC
104 N MAIN ST
LOUISBURG, NC 27549-2516
Phone number: 919-496-7781
Mailing Address
BRANDON JEFFERSON RUSSELL LPCA, NCC
104 N MAIN ST
LOUISBURG, NC 27549-2516
Phone number: 919-496-7781
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