| Kylie Russell | |
|
2302 W 1st St Ste 109 Cedar Falls IA 50613-1854 | |
| (319) 406-2561 | |
| Not Available |
| Full Name | Kylie Russell |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2302 W 1st St Ste 109, Cedar Falls, Iowa |
| Authorized Official Name and Position | Kylie Russell (OWNER) |
| Authorized Official Contact | 3194062561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kylie Russell Po Box 71602 Clive IA 50325-0602 Ph: (515) 243-2057 | Kylie Russell 2302 W 1st St Ste 109 Cedar Falls IA 50613-1854 Ph: (319) 406-2561 |
| NPI Number | 1942019310 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942019310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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