Andrea Russell, LCPC
NPI #1730699182 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1730699182
- Entity Type
- Individual
- Name
- Andrea Russell, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Oct 11, 2017
- Last Updated
- Oct 11, 2017
Practice Location
- Address
- 20280 GOVERNORS HWY STE 207
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1028
- Phone
- (708) 794-6461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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