Connie Russell, CSAC
Connie Russell, CSAC is an Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.
- Licensed in
- WI
- In the registry since
- 2013
Practice location Address checks out
712 55th StKenosha, WI 53140-6506
Phone: (262) 842-0538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1915-132 (WI) |
|---|
Record details
| NPI number | 1447691167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSAC |
| Sole proprietor | No |
| NPI enumerated | July 10, 2013 |
| Last updated in NPPES | July 11, 2013 |
| Mailing address | 5407 8th Ave, Kenosha, WI 53140-3715 |
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