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Jennifer Russotiesi
Professional Counselor in Darien, Illinois
NPI 1043850498

Jennifer Russotiesi is a Professional Counselor based in Downers Grove, IL and is specialized in Professional. Jennifer Russotiesi practices in Darien, IL. The NPI Number for Jennifer Russotiesi is 1043850498 and holds a License No. 180.014871 (Illinois).

The current practice location address for Jennifer Russotiesi is 7900 Cass Ave, Darien, IL and can be reached out via phone at 630-884-8643.

Location: 7900 Cass Ave, Darien, IL, 60515-2344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043850498
Provider Name
Jennifer Russotiesi
Credential
Provider Entity Type
Individual
Gender
Female
Address
7900 Cass Ave, Darien, IL, 60515-2344
Phone Number
630-884-8643
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7900 Cass Ave
City
Darien
State
Illinois
Zip
60561-5073
Phone Number
630-884-8643
Fax Number
person
Provider Business Mailing Address Details
Address
7900 Cass Ave
City
Darien
State
Illinois
Zip
60561-5073
Phone Number
630-884-8643
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.014871 (Illinois)
Definition
Definition to come...
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