Heather Russo
Professional Counselor
495 E Main St
Columbus
, Ohio 43215-5349
Heather Russo
Professional Counselor
495 E Main St
Columbus
, Ohio 43215-5349
(614) 355-2220
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Heather Russo
- Dept 781625
- Detroit, MI
- Zip : 48278-1625
- Fax : (614) 355-2220
- Phone : (614) 355-8004
Second Address
- Heather Russo
- 495 E Main St
- Columbus, OH
- Zip : 43215-5349
- Fax : (614) 355-8620
- Phone : (614) 355-8895
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | E.0601072-SUPV | OH |
National Provider Identifier
| NPI | 1003192782 |
|---|---|
| Provider Name | Heather Russo |
| First Address | Detroit, MI 48278-1625 |
| Second Address | Columbus, OH 43215-5349 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2011 |
| Last Update Date | 03/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1473276 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.