Individual
DOROTHY K RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC
Contact information
Practice address
5517 BRINSON DR, LOUISVILLE, KY 40216-2729
(502) 409-3826
Mailing address
5517 BRINSON DR, LOUISVILLE, KY 40216-2729
(502) 409-3826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPAT 161
KY
Other
Enumeration date
02/04/2010
Last updated
01/05/2015
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