Jessica Russell, LCSW

NPI #1891196861 in Ellington, Connecticut

Provider Information

NPI Number: 1891196861
Entity Type: Individual
Name: Jessica Russell, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 10, 2014
Last Updated: Feb 6, 2023

Practice Location

Address: 15 FAIRVIEW AVE
City: Ellington
State: Connecticut
ZIP Code: 06029-4218
Phone: (860) 559-7478

Specialties & Taxonomy Codes

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

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