Individual
JOCHEN RUSSIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
166 WEIMAR WAY, KALISPELL, MT 59901-9105
(406) 366-3520
Mailing address
166 WEIMAR WAY, KALISPELL, MT 59901-9105
(406) 366-3520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-50536
MT
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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