Ms. Marsha T Russell
Addiction Counselor (Substance Use Disorder) Behavior Technician
4977 Northcutt Pl
Dayton
, Ohio 45414-3839
Ms. Marsha T Russell
Addiction Counselor (Substance Use Disorder) Behavior Technician
4977 Northcutt Pl
Dayton
, Ohio 45414-3839
(937) 266-5702
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Behavior Technician
Languages spoken
- English
Location
First Address
- Ms. Marsha T Russell
- 4748 Tenshaw Dr
- Dayton, OH
- Zip : 45417-5930
- Phone : (937) 266-5702
Second Address
- Ms. Marsha T Russell
- 4977 Northcutt Pl
- Dayton, OH
- Zip : 45414-3839
- Phone : (937) 387-6395
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FAQs
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Is Ms. Marsha T Russell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDCA.173387 | OH |
| N | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003302613 |
|---|---|
| Provider Name | Ms. Marsha T Russell |
| First Address | Dayton, OH 45417-5930 |
| Second Address | Dayton, OH 45414-3839 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2018 |
| Last Update Date | 27/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1326012360 | AGENCY NPI (01) | 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.