Individual
JAMES G RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
102 ROBINSON ST, DANVILLE, IL 61832-8515
(217) 443-1772
(217) 443-1701
Mailing address
102 ROBINSON ST, DANVILLE, IL 61832-8515
(217) 443-1772
(217) 443-1701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004885
IL
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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