Individual
MRS. LESLIE LINNEA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1003 COTTONWOOD RD, CRESTON, IA 50801-1012
(641) 782-8457
Mailing address
2369 N LAKEVIEW DR, GREENFIELD, IA 50849-8234
(641) 745-7520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16024
IA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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