Individual provider · Type 1 NPI

Nicole Lee Russell, MPA, CADC

Addiction (Substance Use Disorder) Counselor · Waterloo, IA

NPI number 1831981125 Active

Practice location

405 E 5th St
Waterloo, IA 50703-5705

Mailing address

1431 Ingersoll Rd
Waterloo, IA 50701-6047

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25054 (IA)

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

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About NPI 1831981125

Nicole Lee Russell, MPA, CADC's National Provider Identifier is 1831981125, issued on May 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterloo, IA. The record was last updated on May 21, 2025.