Mr. Russell C Mullett, MED, LCPC
Mr. Russell C Mullett, MED, LCPC is a Professional Counselor in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2012
What do these letters mean?
Practice location Address checks out
1801 Fox DrChampaign, IL 61820-7236
Phone: (217) 693-4529
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 180.006850 (IL) |
|---|
Record details
| NPI number | 1891048906 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MED , LCPC |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2012 |
| Last updated in NPPES | October 26, 2012 |
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