Dr Aline Gaston Russell, DMIN, LCPC, LMFT in Alton, IL - Marriage & Family Therapist

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.

Contact Information

	Dr Aline Gaston Russell, DMIN, LCPC, LMFT
	1710 Clawson St, #4, Alton, IL 62002-4792
	(618) 462-1448
	(314) 878-4524

Healthcare Provider's Profile

Full Name	Dr Aline Gaston Russell
Gender	Female
Speciality	Marriage & Family Therapist
Location	1710 Clawson St, Alton, Illinois
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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Dr Aline Gaston Russell, DMIN, LCPC, LMFT - Couples Therapy in Alton, IL