Individual
MRS. SHANNON REBECCA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
434 SCOTT BLVD, LIFE POINT SOLUTIONS, COVINGTON, KY 41011
(859) 547-5777
(859) 655-4882
Mailing address
434 SCOTT BLVD, LIFE POINT SOLUTIONS, COVINGTON, KY 41011
(859) 240-0714
(859) 655-4882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
10/08/2019
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