MR. Jesse Richards Russell, L.C.S.W.

NPI #1235319880 in Freeport, Maine

Provider Information

NPI Number
1235319880
Entity Type
Individual
Name
MR. Jesse Richards Russell, L.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
Nov 13, 2007
Last Updated
Sep 10, 2025

Practice Location

Address
106 MAQUOIT DR
State
Maine
ZIP Code
04032-6320
Phone
(207) 671-5598

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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