Individual provider · Type 1 NPI

Lakiesha Russell, LPC-IT

Professional Counselor · Milwaukee, WI

NPI number 1609272418 Active

Practice location

620 S 76th St
Milwaukee, WI 53214-1599

Call (414) 453-1400 Map

Fax (414) 453-2538

Mailing address

9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6098-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1609272418

Lakiesha Russell, LPC-IT's National Provider Identifier is 1609272418, issued on Nov 6, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 8, 2019.