Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shondrea Russum, PCMHT

Individual provider Mental Health Counselor · NPI 1801332192

Shondrea Russum, PCMHT is a Mental Health Counselor in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017

Practice location Address checks out

460 Briarwood Dr Ste 510
Jackson, MS 39206-3051
Phone: (601) 956-4816
Fax: (601) 956-4817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PH3926 (MS)

Record details

NPI number1801332192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCMHT
Sole proprietorNo
NPI enumeratedJanuary 11, 2017
Last updated in NPPESJanuary 11, 2017

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