Shontay Russ-Phulbas
Shontay Russ-Phulbas is a Counselor in Hartford, Connecticut. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
999 Asylum Ave Ste 502Hartford, CT 06105-2475
Phone: (860) 731-5522
Fax: (860) 731-5536
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1679234116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 6, 2022 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 6, 2022 |
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