Individual provider · Type 1 NPI

Kelly Leonora Russell, LMFT, CDPT

Addiction (Substance Use Disorder) Counselor · Seattle, WA

NPI number 1942770409 Active

Practice location

611 12th Ave S
Seattle, WA 98144-2007

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLF60294042 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60846150 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1942770409

Kelly Leonora Russell, LMFT, CDPT's National Provider Identifier is 1942770409, issued on Nov 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Seattle, WA. The record was last updated on Nov 27, 2018.