Individual provider · Type 1 NPI

Samantha D. Russell, CDCA

Addiction (Substance Use Disorder) Counselor · Ironton, OH

NPI number 1508410705 Active

Practice location

2111 S 7th St
Ironton, OH 45638-2538

Call (740) 550-5228 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.171590 (OH)

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

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About NPI 1508410705

Samantha D. Russell, CDCA's National Provider Identifier is 1508410705, issued on Jul 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ironton, OH. The record was last updated on Apr 4, 2025.