Nicole Russell

NPI #1770882516 in Shaker Heights, Ohio

Provider Information

NPI Number: 1770882516
Entity Type: Individual
Name: Nicole Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 18, 2011
Last Updated: Mar 18, 2011

Practice Location

Address: 22001 FAIRMOUNT BLVD
City: Shaker Heights
State: Ohio
ZIP Code: 44118-4819
Phone: (216) 932-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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