Individual
MS. MEGAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, CADC
Contact information
Practice address
9702 STONESTREET RD STE 120, LOUISVILLE, KY 40272-6812
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
127535
KY
101YP2500X
Professional Counselor
Primary
171809
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100534640
—
KY
Enumeration date
10/31/2016
Last updated
07/13/2021
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