NPI Profile for WENDY RUSSELL in BEAVER DAM, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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WENDY RUSSELL
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