Individual provider · Type 1 NPI
Stephanie Russo, LCPC
Professional Counselor · Grayslake, IL
NPI number
1376671727
Active
Practice location
18640 W. Belvidere Road
Grayslake, IL 60030
Fax (847) 548-6040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1376671727
Stephanie Russo, LCPC's National Provider Identifier is 1376671727, issued on Feb 28, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grayslake, IL. The record was last updated on Jul 8, 2007.