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Russell Warner
Mental Health Counselor in Rockford, Illinois
NPI 1548944960

Russell Warner is a Mental Health Counselor based in Rockford, IL and is specialized in Mental Health. Russell Warner practices in Rockford, IL. The NPI Number for Russell Warner is 1548944960 and holds a License No. (Illinois).

The current practice location address for Russell Warner is 341 Bienterra Trl Apt 2, Rockford, IL and can be reached out via phone at 815-319-2056.

Location: 341 Bienterra Trl Apt 2, Rockford, IL, 61107-5853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548944960
Provider Name
Russell Warner
Credential
Provider Entity Type
Individual
Gender
Male
Address
341 Bienterra Trl Apt 2, Rockford, IL, 61107-5853
Phone Number
815-319-2056
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
341 Bienterra Trl Apt 2
City
Rockford
State
Illinois
Zip
61107-5853
Phone Number
815-319-2056
Fax Number
person
Provider Business Mailing Address Details
Address
341 Bienterra Trl Apt 2
City
Rockford
State
Illinois
Zip
61107-5853
Phone Number
815-319-2056
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Illinois)
Definition
Definition to come...
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