MRS. Kristie Ann Russell, LCPC NCC

NPI #1619165941 in Cobden, Illinois

Provider Information

NPI Number
1619165941
Entity Type
Individual
Name
MRS. Kristie Ann Russell, LCPC NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCPC NCC
Enumeration Date
Oct 11, 2007
Last Updated
Oct 11, 2007

Practice Location

Address
3455 WING HILL RD
City
Cobden
ZIP Code
62920
Phone
(314) 330-5453

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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