OrganizationActive
Angela Russell
NPI 1376665992 · Counseling Psychologist · Largo, MD
Provider details
- NPI number
- 1376665992
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Angela Russell, President
- License
- LC1591 (MD)
Practice location
1300 Mercantile Ln
Suite 139-J
Largo, MD 20774-5327
Phone: (301) 574-5976
Fax: (301) 574-5986
Mailing address
16306 Brooktrail Ct
Upper Marlboro, MD 20772-3272
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.