Connie Russell CSAC

  • NPI 1447691167
According to our database, the NPI number for Connie Russell CSAC is 1447691167 and activated since 10 years ago. Connie Russell CSAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 712 55th St, Kenosha, WI 53140. You can also contact Connie Russell CSAC via telephone number is (262) 842-0538. Provider NPI information was last updated on 07/11/2013.

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Overview of Connie Russell CSAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/10/2013
  • Last updated: 07/11/2013

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1915-132
  • License State: WI

Provider Mailing Address

  • Address: 5407 8th Ave
    Kenosha, WI 53140
  • Phone: 262-657-7188
  • Fax:

Provider Practice Location

  • Address: 712 55th St
    Kenosha, WI 53140
  • Phone: 262-842-0538
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1915-132
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Connie Russell CSAC?
  • A: The npi number for Connie Russell CSAC is 1447691167.
  • Q: What are Connie Russell CSAC's specialties?
  • A: Connie Russell CSAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Connie Russell CSAC?
  • A: The medical license number for Connie Russell CSAC is 1915-132 and issued in WI in USA.
  • Q: Where is Connie Russell CSAC practice location?
  • A: Connie Russell CSAC is practicing at 712 55th St, Kenosha, WI 53140.
  • Q: How to contact Connie Russell CSAC?
  • A: You can contact Connie Russell CSAC via 262-842-0538.
Medicare Specialty
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