Lisa Marie Russow
Lisa Marie Russow is a Counselor in Centralia, Illinois. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
904 M L King DrCentralia, IL 62801-3058
Phone: (618) 533-1391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1487087680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 12, 2013 |
| Last updated in NPPES | August 12, 2013 |
Other providers in Centralia
-
Kaleigh Price
904 E Martin Luther King Dr, Centralia, IL 62801 · (618) 533-1391
-
William Thomas Radcliffe
101 S Locust St, Centralia, IL 62801-3506 · (618) 533-1391
-
Danielle Ranes
904 E Martin Luther King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Heather Rittenhouse
904 M L King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Travis Sarasky
904 E Martin Luther King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Max Schraert
904 E Martin Luther King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Candice Shields
904 E Martin Luther King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Andrea Slater
904 M L King Dr, Centralia, IL 62801-3058 · (618) 533-1391