Dr Aline Gaston Russell, DMIN, LCPC, LMFT is a
Marriage & Family Therapist based in Alton, Illinois. Dr Aline Gaston Russell is licensed to practice in Illinois (license number ) and her current practice location is
1710 Clawson St, #4, Alton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 462-1448.
NPI number for Dr Aline Gaston Russell is 1457310039 and her current mailing address is 824 Mckinley Blvd, Alton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457310039.
Healthcare Provider's Profile
Full Name | Dr Aline Gaston Russell |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1710 Clawson St, Alton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457310039
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Aline Gaston Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457310039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Aline Gaston Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Aline Gaston Russell, DMIN, LCPC, LMFT 824 Mckinley Blvd, Alton, IL 62002-3357 Ph: (618) 462-1510 | Dr Aline Gaston Russell, DMIN, LCPC, LMFT 1710 Clawson St, #4, Alton, IL 62002-4792 Ph: (618) 462-1448 |
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