MS. Marsha T Russell, CDCA

NPI #1003302613 in Dayton, Ohio

Provider Information

NPI Number: 1003302613
Entity Type: Individual
Name: MS. Marsha T Russell, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDCA
Enumeration Date: Jul 6, 2018
Last Updated: Sep 27, 2021

Practice Location

Address: 4977 NORTHCUTT PL
City: Dayton
State: Ohio
ZIP Code: 45414-3839
Phone: (937) 387-6395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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