Mrs Kristie Ann Russell, LCPC NCC - Counselor in Cobden, IL

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Mrs Kristie Ann Russell, LCPC NCC is a Counselor - Mental Health based in Cobden, Illinois. Mrs Kristie Ann Russell is licensed to practice in Illinois (license number ) and her current practice location is 3455 Wing Hill Rd, Cobden, Illinois. She can be reached at her office (for appointments etc.) via phone at (314) 330-5453.

NPI number for Mrs Kristie Ann Russell is 1619165941 and her current mailing address is 3455 Wing Hill Rd, Cobden, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619165941.

Contact Information

Mrs Kristie Ann Russell, LCPC NCC
3455 Wing Hill Rd,
Cobden, IL 62920
(314) 330-5453
(618) 893-4075

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Healthcare Provider's Profile

Full NameMrs Kristie Ann Russell
GenderFemale
SpecialityCounselor - Mental Health
Location3455 Wing Hill Rd, Cobden, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619165941
  • Provider Enumeration Date: 10/11/2007
  • Last Update Date: 10/11/2007

Medical Identifiers

Medical identifiers for Mrs Kristie Ann Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619165941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristie Ann Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kristie Ann Russell, LCPC NCC
3455 Wing Hill Rd,
Cobden, IL 62920

Ph: (314) 330-5453		Mrs Kristie Ann Russell, LCPC NCC
3455 Wing Hill Rd,
Cobden, IL 62920

Ph: (314) 330-5453

Reviews and Comments


Counselor in Cobden, IL


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