Individual
ELIZABETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPC, NCC
Contact information
Practice address
4835 SHAWNEE DR, KANSAS CITY, KS 66106-3712
(913) 777-6655
Mailing address
4835 SHAWNEE DR, KANSAS CITY, KS 66106-3712
(913) 777-6655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2010038977
MO
101YP2500X
Professional Counselor
Primary
2384
KS
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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