Individual provider · Type 1 NPI
Kristie Ann Russell, LCPC NCC
Mental Health Counselor · Cobden, IL
NPI number
1619165941
Active
Practice location
3455 Wing Hill Rd
Cobden, IL 62920
Fax (618) 893-4075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1619165941
Kristie Ann Russell, LCPC NCC's National Provider Identifier is 1619165941, issued on Oct 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cobden, IL. The record was last updated on Oct 11, 2007.