Individual provider · Type 1 NPI

Kevin John Russell, LCPC

Professional Counselor · Mchenry, IL

NPI number 1366543167 Active

Practice location

5435 Bull Valley Rd Ste 106
Mchenry, IL 60050-2209

Call (815) 382-8378 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180002771 (IL)

Professional Counselor: Definition to come...

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About NPI 1366543167

Kevin John Russell, LCPC's National Provider Identifier is 1366543167, issued on Sep 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mchenry, IL. The record was last updated on Sep 20, 2011.