Individual provider · Type 1 NPI

Rusty Russell

Addiction (Substance Use Disorder) Counselor · Onalaska, WI

NPI number 1174491237 Active

Practice location

9532 E 16 Frontage Rd
Onalaska, WI 54650-6739

Call (608) 783-0506 Map

Fax (608) 783-0242

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21004-130 (WI)

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

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About NPI 1174491237

Rusty Russell's National Provider Identifier is 1174491237, issued on Oct 29, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Onalaska, WI. The record was last updated on Oct 29, 2025.