Individual provider · Type 1 NPI

Andrea Russell, LCPC

Professional Counselor · Olympia Fields, IL

NPI number 1730699182 Active

Practice location

20280 Governors Hwy Ste 207
Olympia Fields, IL 60461-1028

Call (708) 794-6461 Map

Mailing address

825 E 41st St Apt 1B
Chicago, IL 60653-2481

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180010847 (IL)

Professional Counselor: Definition to come...

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About NPI 1730699182

Andrea Russell, LCPC's National Provider Identifier is 1730699182, issued on Oct 11, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Olympia Fields, IL. The record was last updated on Oct 11, 2017.