Individual
ABBEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.
Contact information
Practice address
3086 ST RT 160, GALLIPOLIS, OH 45631-8409
(740) 441-4436
(740) 441-4495
Mailing address
3086 ST RT 160, GALLIPOLIS, OH 45631-8409
(740) 441-4436
(740) 441-4495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1000129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200820
—
OH
Enumeration date
01/16/2014
Last updated
01/16/2014
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