Individual
BRITTANY ELISE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MADISON ST, OAK PARK, IL 60302-4278
(708) 859-8004
Mailing address
413 N PRINCETON AVE, VILLA PARK, IL 60181-1923
(630) 746-2429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180015934
IL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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