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Mrs. Panola E. Russell, LCPCCCBTLCAC
Addiction (Substance Use Disorder) Counselor in University Park, Illinois
NPI 1336479542

Panola E. Russell is an Addiction (Substance Use Disorder) Counselor based in University Park, IL and is specialized in Addiction (Substance Use Disorder). Panola E. Russell practices in University Park, IL and has the professional credentials of LCPCCCBTLCAC. The NPI Number for Panola E. Russell is 1336479542 and holds a License No. (Illinois).

The current practice location address for Panola E. Russell is 855 Burnham Dr Apt F, University Park, IL and can be reached out via phone at 708-534-7559.

Location: 855 Burnham Dr Apt F, University Park, IL, 60484-3042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336479542
Provider Name
Panola E. Russell
Credential
LCPCCCBTLCAC
Provider Entity Type
Individual
Gender
Female
Address
855 Burnham Dr Apt F, University Park, IL, 60484-3042
Phone Number
708-534-7559
Fax Number
Provider Enumeration Date
01/11/2010
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
855 Burnham Dr Apt F
City
University Park
State
Illinois
Zip
60484-3042
Phone Number
708-534-7559
Fax Number
person
Provider Business Mailing Address Details
Address
855 Burnham Dr Apt F
City
University Park
State
Illinois
Zip
60484-3042
Phone Number
708-534-7559
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
87001334A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
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