person
Dr. Russell Elleven, DMIN,EDD
Addiction (Substance Use Disorder) Counselor in Libertyville, Illinois
NPI 1831783109

Russell Elleven is an Addiction (Substance Use Disorder) Counselor based in Libertyville, IL and is specialized in Addiction (Substance Use Disorder). Russell Elleven practices in Libertyville, IL and has the professional credentials of DMIN,EDD. The NPI Number for Russell Elleven is 1831783109 and holds a License No. 36465 (Illinois).

The current practice location address for Russell Elleven is 201 S Stewart Ave, Libertyville, IL and can be reached out via phone at 312-330-5353.

Location: 201 S Stewart Ave, Libertyville, IL, 60048-2743
person
Provider Profile Details
NPI Number
1831783109
Provider Name
Russell Elleven
Credential
DMIN,EDD
Provider Entity Type
Individual
Gender
Male
Address
201 S Stewart Ave, Libertyville, IL, 60048-2743
Phone Number
312-330-5353
Fax Number
Provider Enumeration Date
02/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 S Stewart Ave
City
State
Zip
60048-2743
Phone Number
312-330-5353
Fax Number
person
Provider Business Mailing Address Details
Address
201 S Stewart Ave
City
State
Zip
60048-2743
Phone Number
312-330-5353
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
36465 (Illinois)
Definition
Definition to come...
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