Jai Kieron Rene Russell, LCSW
NPI #1972162683 in Bozeman, Montana
Provider Information
- NPI Number
- 1972162683
- Entity Type
- Individual
- Name
- Jai Kieron Rene Russell, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jun 7, 2019
- Last Updated
- Dec 8, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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