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1366543167
KEVIN JOHN RUSSELL
MCHENRY, IL
NPI
1366543167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180002771)
Enumeration Date
2006-09-26
Last Update Date
2011-09-20
Business Address
Mr. KEVIN JOHN RUSSELL LCPC
5435 BULL VALLEY RD STE 106
MCHENRY, IL 60050-2209
Phone number: 815-382-8378
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Mailing Address
Mr. KEVIN JOHN RUSSELL LCPC
5435 BULL VALLEY RD STE 106
MCHENRY, IL 60050-2209
Phone number:
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