MRS. Bethany C Russell, LCSW

NPI #1427621044 in Augusta, Maine

Provider Information

NPI Number: 1427621044
Entity Type: Individual
Name: MRS. Bethany C Russell, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCSW
Enumeration Date: Jul 21, 2021
Last Updated: Jul 17, 2023

Practice Location

Address: 116 STATE ST
City: Augusta
State: Maine
ZIP Code: 04330-5632
Phone: (207) 877-1041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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