Individual provider · Type 1 NPI

Kacee Russell, LCPC

Mental Health Counselor · Caldwell, ID

NPI number 1356995740 Active

Practice location

28371 El Paso Rd
Caldwell, ID 83607-7521

Call (208) 454-8847 Map

Mailing address

5040 Freemont Rd
New Plymouth, ID 83655-5425

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC7175 (ID)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1356995740

Kacee Russell, LCPC's National Provider Identifier is 1356995740, issued on Jul 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Caldwell, ID. The record was last updated on Jul 24, 2019.