Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MARIE RUSSOW
ActiveLISA MARIE RUSSOW is a Mental Health Counselor healthcare provider located in CENTRALIA, Illinois. NPI 1487087680 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CENTRALIA, IL
Registration Details
- NPI Number
- 1487087680
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2013 (12.980407433189 yrs)
- Last Updated
- Aug 12, 2013
Practice Information
- Address
-
904 M L KING DRCENTRALIA, IL, 628013058Browse IL providers · Browse ZIP 62801
- Phone
- 6185331391
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in CENTRALIA, IL
| Name | Credential | NPI |
|---|---|---|
| MS. JUDY LEE MCNUTT | QMHP | 1699818823 |
| SANDRA JEAN BELLEGANTE | BA, MSW, LSW, CADC | 1346461274 |
| MS. LAURA ANN IRWIN | M.S., LPC | 1427279868 |
| MRS. LAURA ANN JANSEN | MA | 1396948220 |
| NICOLE GARREN | MSW | 1518167519 |
| MR. RONALD D LYONS | LCSW | 1548453384 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.