Individual
ANGELA LISA WHITCHER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA II
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167255
OH
104100000X
Social Worker
Primary
S.2207770
OH
Other
Enumeration date
03/28/2022
Last updated
11/15/2022
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