Individual provider · Type 1 NPI

Kirsten Charmain Russell

Mental Health Counselor · Lucedale, MS

NPI number 1851923858 Active

Practice location

57 Industrial Park Rd
Lucedale, MS 39452-6583

Fax (601) 947-4275

Mailing address

11263 Old 63 S Apt 59
Lucedale, MS 39452-6656

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1851923858

Kirsten Charmain Russell's National Provider Identifier is 1851923858, issued on Feb 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lucedale, MS. The record was last updated on Feb 7, 2020.