Wendy Russell LPCA

NPI 1457760662 - Counselor - 101YM0800X

NPI Details
NPI 1457760662
Gender Female
Enumeration Date 08/13/2014
Last Updated 08/13/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
BEAVER DAM KY, 42320-8637, US
Phone (270) 274-0650
Business Location
716 W 11TH ST
BEAVER DAM KY, 42320-1581, US
Phone (270) 256-1237
Taxonomy Code 101YM0800X
License State Kentucky
License Number 1283
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According to our database, Wendy Russell LPCA NPI is 1457760662, taxonomy code is 101YM0800X and license number is 1283, license state is located at Kentucky. Wendy Russell LPCA physically located at 1269 Duvall Rd, Beaver Dam KY, 42320-8637. NPI Number Wendy Russell LPCA has the Individual type.

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1457760662 NPI number is provided on an as is basis without warranty of any kind. 1457760662 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Russell LPCA are for informational purposes only.