KRISTINA RUSSELL LPC LLMFT NPI 1558839746

NPI Information

NPI: 1558839746
Provider Name: KRISTINA RUSSELL, LPC, LLMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3351 CLAYSTONE ST SE STE G-32
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 288-2558
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Kristina Russell, LPC, LLMFT is a professional counselor in Grand Rapids, MI. Kristina Russell, LPC, LLMFT NPI is 1558839746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3351 CLAYSTONE ST SE STE G-32
GRAND RAPIDS, MI
ZIP 49546-794
Phone: (616) 288-2558

The enumeration date for this NPI number is 11/6/2018 and was last updated on 4/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		6401016900	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401019274	MICHIGAN	Yes
3	106H00000X	Marriage & Family Therapist		4101006827	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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