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Contact Information

WENDY RUSSELL, LPCC
343 S MAIN ST
BEAVER DAM, KY42320
 Phone: 270-228-2414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for WENDY RUSSELL · (Female)

NPI # 1457760662
Status Active
Credentials LPCC
Entity Individual
Enumeration date 08/13/2014
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 163595
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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