person
Ms. Kelly Leonora Russell, LMFT,CDPT
Addiction (Substance Use Disorder) Counselor in Seattle, Washington
NPI 1942770409

Kelly Leonora Russell is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Kelly Leonora Russell practices in Seattle, WA and has the professional credentials of LMFT,CDPT. The NPI Number for Kelly Leonora Russell is 1942770409 and holds a License No. LF60294042 (Washington).

The current practice location address for Kelly Leonora Russell is 611 12Th Ave S, Seattle, WA and can be reached out via phone at 206-324-9360.

Location: 611 12Th Ave S, Seattle, WA, 98144-2007
person
Provider Profile Details
NPI Number
1942770409
Provider Name
Kelly Leonora Russell
Credential
LMFT,CDPT
Provider Entity Type
Individual
Gender
Female
Address
611 12Th Ave S, Seattle, WA, 98144-2007
Phone Number
206-324-9360
Fax Number
Provider Enumeration Date
11/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 12Th Ave S
City
State
Zip
98144-2007
Phone Number
206-324-9360
Fax Number
person
Provider Business Mailing Address Details
Address
611 12Th Ave S
City
State
Zip
98144-2007
Phone Number
206-324-9360
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60846150 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LF60294042 (Washington)
Definition
Definition to come...
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