Tammy Russell's National Provider Identifier (NPI) Details
Tammy Russell, LMHC
NPI: 1093104671
Enumeration Date: 2015-01-20
Last updated: 2018-10-24
Sole Proprietor: YES
Status: active
Postal Address: 3461 BURLINGTON AVE N, ST PETERSBURG, FL
Phone: 727-328-4006
Primary Practice Address: 3461 BURLINGTON AVE N, ST PETERSBURG, FL
Practice's phone: 727-328-4006