Search › Maine › 101Y00000X
Bethany Russell, LCSW
NPI 1427621044 · on the registry since 2021
Practice
- Address
- 116 State St
Augusta, ME 04330 - Phone
- (207) 877-1041
- Organisation at this address
- Edge Of Change, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine