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Individual
BRIANA JEAN RUSS
Active
Individual
BRIANA JEAN RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC. LICDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1901264
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161887
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341808
—
OH
Enumeration date
11/13/2017
Last updated
09/26/2021
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