Shelly Dawn Russell, LCDCIII.162408
NPI #1679055719 in Coal Grove, Ohio
Provider Information
- NPI Number
- 1679055719
- Entity Type
- Individual
- Name
- Shelly Dawn Russell, LCDCIII.162408
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCDCIII.162408
- Enumeration Date
- Sep 5, 2018
- Last Updated
- Jun 3, 2025
Practice Location
- Address
- 323 MARION PIKE STE 1
- City
- Coal Grove
- State
- Ohio
- ZIP Code
- 45638-2958
- Phone
- (740) 237-4981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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