Individual provider · Type 1 NPI

Heidi Marie Russell

Addiction (Substance Use Disorder) Counselor · Massillon, OH

NPI number 1508383779 Active

Practice location

3545 Lincoln Way E Ste B
Massillon, OH 44646-8624

Call (833) 510-4357 Map

Fax (866) 460-2997

Mailing address

615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457

Other practice locations

  • 615 Elsinore Pl Ste 200, Cincinnati, OH 45202-1457 · (833) 510-4357

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.166110 (OH)

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

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About NPI 1508383779

Heidi Marie Russell's National Provider Identifier is 1508383779, issued on Aug 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Massillon, OH. The record was last updated on Feb 14, 2022.