MR. Kevin John Russell, LCPC

NPI #1366543167 in Mchenry, Illinois

Provider Information

NPI Number
1366543167
Entity Type
Individual
Name
MR. Kevin John Russell, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Sep 26, 2006
Last Updated
Sep 20, 2011

Practice Location

Address
5435 BULL VALLEY RD STE 106
ZIP Code
60050-2209
Phone
(815) 382-8378

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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