Penny Jo Russell, LCDCII

NPI #1326550393 in Belmont, Ohio

Provider Information

NPI Number
1326550393
Entity Type
Individual
Name
Penny Jo Russell, LCDCII
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDCII
Enumeration Date
Oct 31, 2017
Last Updated
Mar 17, 2018

Practice Location

Address
116 E MAIN ST
State
Ohio
ZIP Code
43718-9593
Phone
(740) 484-4141

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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