Individual provider · Type 1 NPI
Illyssa Marie Russell, LPCC-S
Mental Health Counselor · Williamsburg, KY
NPI number
1376877407
Active
Practice location
PO Box 114
Williamsburg, KY 40769-0114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 167704 (KY) |
| Mental Health Counselor | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Williamsburg
About NPI 1376877407
Illyssa Marie Russell, LPCC-S's National Provider Identifier is 1376877407, issued on Sep 22, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Williamsburg, KY. The record was last updated on Oct 15, 2026.