Individual provider · Type 1 NPI

Kristina Russell, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1558839746 Active

Practice location

3215 Eagle Crest Dr NE Ste 100
Grand Rapids, MI 49525-7005

Call (616) 409-4393 Map

Mailing address

2539 Creek Bluff Pl NW
Grand Rapids, MI 49504-2357

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401019274 (MI)

Professional Counselor: Definition to come...

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About NPI 1558839746

Kristina Russell, LPC's National Provider Identifier is 1558839746, issued on Nov 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on May 28, 2026.