Andrea Russell
Andrea Russell is a Community/Behavioral Health Agency in Rigby, Idaho. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1200 Jaylee Dr Unit 1Rigby, ID 83442-5273
Phone: (208) 419-9383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1770342420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2024 |
| Last updated in NPPES | April 10, 2026 |
| Certification date | April 10, 2026 |
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