Individual provider · Type 1 NPI

Marsha T. Russell, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1003302613 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Call (937) 387-6395 Map

Mailing address

4748 Tenshaw Dr
Dayton, OH 45417-5930

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.173387 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003302613

Marsha T. Russell, CDCA's National Provider Identifier is 1003302613, issued on Jul 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Sep 27, 2021.