Individual
LINDA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3540 S HIGHWAY 27 STE 4, SOMERSET, KY 42501-3124
(606) 679-1815
(606) 451-1631
Mailing address
276 GATE RD, RUSSELL SPRINGS, KY 42642-9540
(606) 875-4210
(606) 451-1631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4626
KY
1041C0700X
Clinical Social Worker
Primary
252558
KY
Other
Enumeration date
02/05/2015
Last updated
06/06/2017
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