NPI 1003302613

Marsha T Russell, CDCA

Practitioner Addiction (Substance Use Disorder) Counselor Dayton, OH

Practice location

Address: 4977 Northcutt Pl, Dayton, OH 45414-3839
Phone: (937) 387-6395
Mailing address: 4748 Tenshaw Dr, Dayton, OH 45417-5930

Registered specialties (2)

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CDCA.173387 (OH)

Other Counselor providers in Ohio →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Ohio →

Registry record

NPI: 1003302613
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2018
Record last updated: 27 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.