Individual
LINDA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
365 WALLER AVE, LEXINGTON, KY 40504-2924
(850) 810-0010
Mailing address
317 TIMOTHY WAY, RICHMOND, KY 40475-2629
(606) 219-9042
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
06/06/2026
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