Individual provider · Type 1 NPI
Robert Russell Massie, LICDC
Addiction (Substance Use Disorder) Counselor · Marysville, OH
NPI number
1447395215
Active
Practice location
715 S Plum St
Marysville, OH 43040
Fax (937) 644-3426
Mailing address
PO Box 817
West Liberty, OH 43357-0817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 90283 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1447395215
Robert Russell Massie, LICDC's National Provider Identifier is 1447395215, issued on Feb 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marysville, OH. The record was last updated on Jul 8, 2007.