Lynn Russell, LCSW, ACSW, QP, CS

NPI #1427458579 in Rathdrum, Idaho

Provider Information

NPI Number: 1427458579
Entity Type: Individual
Name: Lynn Russell, LCSW, ACSW, QP, CS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW, ACSW, QP, CS
Enumeration Date: Aug 26, 2014
Last Updated: Feb 18, 2016

Practice Location

Address: 14954 N COEUR DALENE ST
City: Rathdrum
State: Idaho
ZIP Code: 83858-6484
Phone: (208) 687-0538

Specialties & Taxonomy Codes

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

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Organizations

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