Individual
ALEXANDER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 E CAMPUS VIEW BLVD, COLUMBUS, OH 43235-4634
(380) 265-9561
Mailing address
246 E CAMPUS VIEW BLVD, COLUMBUS, OH 43235-4634
(380) 265-9561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.190684
OH
175T00000X
Peer Specialist
Primary
APS.005366
OH
Other
Enumeration date
10/14/2024
Last updated
03/06/2025
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