KACEE RUSSELL

CALDWELL, ID
NPI1356995740
Former NameKACEE DONALDSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC7175)
Enumeration Date2019-07-24
Last Update Date2019-07-24
Business Address
KACEE RUSSELL LCPC
28371 EL PASO RD
CALDWELL, ID 83607-7521
Phone number: 208-454-8847
Mailing Address
KACEE RUSSELL LCPC
5040 FREEMONT RD
NEW PLYMOUTH, ID 83655-5425
Phone number: