Individual provider · Type 1 NPI

Stephanie Russell

Mental Health Counselor · Fairfield, OH

NPI number 1154815652 Active

Practice location

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205

Mailing address

11961 Peach Ridge Rd
Athens, OH 45701-8860

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.2204175 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1154815652

Stephanie Russell's National Provider Identifier is 1154815652, issued on Jun 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, OH. The record was last updated on Sep 22, 2023.