Kacee Russell, LCPC

NPI #1356995740 in Caldwell, Idaho

Provider Information

NPI Number
1356995740
Entity Type
Individual
Name
Kacee Russell, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCPC
Enumeration Date
Jul 24, 2019
Last Updated
Jul 24, 2019

Practice Location

Address
28371 EL PASO RD
State
Idaho
ZIP Code
83607-7521
Phone
(208) 454-8847

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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