NPI 1417453820

Leslie Linnea Russell, CADC

Practitioner Addiction (Substance Use Disorder) Counselor Creston, IA

Practice location

Address: 1003 Cottonwood Rd, Creston, IA 50801-1012
Phone: (641) 782-8457
Mailing address: 2369 N Lakeview Dr, Greenfield, IA 50849-8234

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 16024 (IA)

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Registry record

NPI: 1417453820
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2018
Record last updated: 4 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.