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Individual
COURTNEY RUSSELL
Active
Individual
COURTNEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174607253
MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM
CT
Enumeration date
02/07/2014
Last updated
11/14/2025
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