Stephanie Russo, LCPC

NPI #1376671727 in Grayslake, Illinois

Provider Information

NPI Number: 1376671727
Entity Type: Individual
Name: Stephanie Russo, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Feb 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 18640 W. BELVIDERE ROAD
City: Grayslake
State: Illinois
ZIP Code: 60030
Phone: (847) 548-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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