Jennifer Carol Russell, LPC
NPI #1578290953 in Monroe, Connecticut
Provider Information
- NPI Number
- 1578290953
- Entity Type
- Individual
- Name
- Jennifer Carol Russell, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 4, 2022
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 887 MAIN ST STE 1B
- City
- Monroe
- State
- Connecticut
- ZIP Code
- 06468-2800
- Phone
- (203) 200-0847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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