MRS. Shannon Rebecca Russell, LCSW

NPI #1366858557 in Covington, Kentucky

Provider Information

NPI Number: 1366858557
Entity Type: Individual
Name: MRS. Shannon Rebecca Russell, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 8, 2014
Last Updated: Oct 8, 2019

Practice Location

Address: 434 SCOTT BLVD
Address 2: LIFE POINT SOLUTIONS
City: Covington
State: Kentucky
ZIP Code: 41011
Phone: (859) 547-5777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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