Individual
ANDREA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
20280 GOVERNORS HWY STE 207, OLYMPIA FIELDS, IL 60461-1028
(708) 794-6461
Mailing address
825 E 41ST ST APT 1B, CHICAGO, IL 60653-2481
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010847
IL
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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