NPI 1144636598

Russell Chumley

Practitioner Marriage & Family Therapist Tupelo, MS

Practice location

Address: 4579 South Eason Boulevard, Tupelo, MS 38801
Phone: (662) 377-3115
Mailing address: PO Box 4581, Tupelo, MS 38803-4581

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T0358 (MS)

Other Marriage & Family Therapist providers in Mississippi →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 0481 (MS)

Other Counselor providers in Mississippi →

Registry record

NPI: 1144636598
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2014
Record last updated: 7 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.