SHONDREA RUSSUM

JACKSON, MS
NPI1801332192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MS  PH3926)
Enumeration Date2017-01-11
Last Update Date2017-01-11
Business Address
SHONDREA RUSSUM PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
Mailing Address
SHONDREA RUSSUM PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816