Individual
BRIDGET KATHLEEN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
640 JOHN CARLYLE ST UNIT 405, ALEXANDRIA, VA 22314-6883
(310) 500-0677
Mailing address
640 JOHN CARLYLE ST UNIT 405, ALEXANDRIA, VA 22314-6883
(310) 500-0677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904018930
VA
1041C0700X
Clinical Social Worker
85186
CA
Other
Enumeration date
10/10/2018
Last updated
09/18/2025
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