Russell Warner
Russell Warner is a Mental Health Counselor in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
341 Bienterra Trl Apt 2Rockford, IL 61107-5853
Phone: (815) 319-2056
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (IL) |
|---|
Record details
| NPI number | 1548944960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 14, 2023 |
| Last updated in NPPES | June 14, 2023 |
| Certification date | June 14, 2023 |
| Mailing address | 341 Bienterra Trl Apt 2, Rockford, IL 61107-5853 |
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