Individual provider · Type 1 NPI
Russell Duane Queen
Addiction (Substance Use Disorder) Counselor · Blue Island, IL
NPI number
1346194040
Active
Practice location
12761 Western Ave
Blue Island, IL 60406-2141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 45454 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Blue Island
About NPI 1346194040
Russell Duane Queen's National Provider Identifier is 1346194040, issued on Feb 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blue Island, IL. The record was last updated on Feb 21, 2026.