Individual provider · Type 1 NPI
Russell Elleven, DMIN, EDD
Addiction (Substance Use Disorder) Counselor · Libertyville, IL
NPI number
1831783109
Active
Practice location
201 S Stewart Ave
Libertyville, IL 60048-2743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 36465 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Libertyville
About NPI 1831783109
Russell Elleven, DMIN, EDD's National Provider Identifier is 1831783109, issued on Feb 26, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Libertyville, IL. The record was last updated on Feb 26, 2021.