PAMELA RUSSELL TH. D.
NPI 1952929945
Counselor - Pastoral in Orange Park, FL
Active since July 07, 2020
752 BLANDING BLVD STE 131, ORANGE PARK, FL 32065(904) 830-0737(904) 272-6037 Get Directions Write a Review
About Pamela Russell Th. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA RUSSELL TH. D. (NPI 1952929945) is an individual pastoral provider in Orange Park, Florida and active in the NPI registry since July 2020.
NPPES Registry Identity
NPI1952929945
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NamePAMELA RUSSELLCredential: TH. D.
Location Address752 BLANDING BLVD STE 131Orange Park, FL 32065-5796
Mailing Address752 Blanding Blvd Ste 131Orange Park, FL 32065-5796 · (904) 830-0737 · Fax (904) 272-6037
Phone(904) 830-0737
Fax(904) 272-6037
Sole ProprietorNo
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
✔ NPI 1952929945 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
752 BLANDING BLVD STE 131, Orange Park, FL 32065
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952929945, enumerated as an "individual" on July 07, 2020.
The provider is located at 752 BLANDING BLVD STE 131 ORANGE PARK, FL 32065 and the phone number is (904) 830-0737.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.
