Individual provider · Type 1 NPI

Laura Denise Russell, CDCA

Addiction (Substance Use Disorder) Counselor · Whitehall, OH

NPI number 1972278240 Active

Practice location

4000 E Main St
Whitehall, OH 43213-2950

Mailing address

4214 E Main St
Whitehall, OH 43213-3028

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.166081 (OH)

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

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About NPI 1972278240

Laura Denise Russell, CDCA's National Provider Identifier is 1972278240, issued on Aug 10, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Whitehall, OH. The record was last updated on Aug 10, 2021.