Individual
ALEXIS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 N MAIN ST, NEW LEXINGTON, OH 43764-1264
(740) 342-1991
Mailing address
221 N MAIN ST, NEW LEXINGTON, OH 43764-1264
(740) 342-1991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.194029
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/24/2025
Last updated
01/06/2026
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