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Miss Lakiesha Russell, LPC-IT
Professional Counselor in Milwaukee, Wisconsin
NPI 1609272418

Lakiesha Russell is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Lakiesha Russell practices in Milwaukee, WI and has the professional credentials of LPC-IT. The NPI Number for Lakiesha Russell is 1609272418 and holds a License No. 6098-125 (Wisconsin).

The current practice location address for Lakiesha Russell is 620 S 76Th St, Milwaukee, WI and can be reached out via phone at 414-453-1400 and via fax at 414-453-2538.

Location: 620 S 76Th St, Milwaukee, WI, 53226-4874
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Provider Profile Details
NPI Number
1609272418
Provider Name
Lakiesha Russell
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
620 S 76Th St, Milwaukee, WI, 53226-4874
Phone Number
414-453-1400
Fax Number
414-453-2538
Provider Enumeration Date
11/06/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609272418 05 WI
institution
Provider Business Practice Location Address Details
Address
620 S 76Th St
City
State
Zip
53214-1599
Phone Number
414-453-1400
Fax Number
414-453-2538
person
Provider Business Mailing Address Details
Address
620 S 76Th St
City
State
Zip
53214-1599
Phone Number
414-453-1400
Fax Number
414-453-2538
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6098-125 (Wisconsin)
Definition
Definition to come...
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