person
Theresa M. Russell, LPC
Professional Counselor in Quincy, Illinois
NPI 1457750895

Theresa M. Russell is a Professional Counselor based in Kirksville, IL and is specialized in Professional. Theresa M. Russell practices in Quincy, IL and has the professional credentials of LPC. The NPI Number for Theresa M. Russell is 1457750895 and holds a License No. 178008281 (Illinois).

The current practice location address for Theresa M. Russell is 428 S 36Th St, Quincy, IL and can be reached out via phone at 217-224-6300 and via fax at 217-224-4329.

Location: 428 S 36Th St, Quincy, IL, 63501-4520
person
Provider Profile Details
NPI Number
1457750895
Provider Name
Theresa M. Russell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
428 S 36Th St, Quincy, IL, 63501-4520
Phone Number
217-224-6300
Fax Number
217-224-4329
Provider Enumeration Date
08/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
428 S 36Th St
City
State
Zip
62301-5924
Phone Number
217-224-6300
Fax Number
217-224-4329
person
Provider Business Mailing Address Details
Address
428 S 36Th St
City
State
Zip
62301-5924
Phone Number
217-224-6300
Fax Number
217-224-4329
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178008281 (Illinois)
Definition
Definition to come...
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