Individual
STEPHANIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LCAC, NCC, CCT
Contact information
Practice address
809 ELMHURST BLVD, SALINA, KS 67401-7405
(785) 823-6322
(785) 823-3109
Mailing address
809 ELMHURST BLVD, SALINA, KS 67401
(785) 823-6322
(785) 823-3109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
008
KS
101YP2500X
Professional Counselor
Primary
2680
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004309210001
—
KS
Enumeration date
01/23/2013
Last updated
04/03/2024
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