Russell, Ann Carol

Russell, Ann Carol is an individual health care provider with primary practice located at 819 Bloomington Rd , Champaign IL 61820-2101. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Russell, Ann Carol can be contacted via phone (217) 356-1558.

Contact Information

Primary practice address
819 Bloomington Rd Champaign IL 61820-2101
Phone: (217) 356-1558
Fax: (217) 366-0160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1689845620
LBN Legal business name Russell, Ann Carol
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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