Christopher Russell, LPC | |
295 Wharton Ln Ne, Norton, VA 24273-1541 | |
(276) 260-9991 | |
(276) 260-9717 |
Full Name | Christopher Russell |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 295 Wharton Ln Ne, Norton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902393010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701007555 (Virginia) | Primary |
Entity Name | Frontier Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040206000424 |
Mailing Address | Practice Location Address |
---|---|
Christopher Russell, LPC 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Christopher Russell, LPC 295 Wharton Ln Ne, Norton, VA 24273-1541 Ph: (276) 260-9991 |
Brittany Michelle Wampler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7690 Fax: 276-226-9116 | |
Tara Pope, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7690 | |
Kayla Newsom, Counselor Medicare: Medicare Enrolled Practice Location: 620 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7690 | |
Stephen Souther, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Park Avenue Sw, Norton, VA 24273 Phone: 276-700-2768 | |
Carrie Ann Burke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Anderson Hollow Rd Ste 200, Norton, VA 24273 Phone: 276-679-1045 Fax: 276-679-1047 | |
Ms. Kim Carter, LPC, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 507 Park Ave Sw, Norton, VA 24273 Phone: 276-679-1195 Fax: 276-679-2719 | |
Krystal Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7690 |