NICOLE LEE RUSSELL

WATERLOO, IA
NPI1831981125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA  25054)
Enumeration Date2025-05-21
Last Update Date2025-05-21
Business Address
NICOLE LEE RUSSELL MPA, CADC
405 E 5TH ST
WATERLOO, IA 50703-5705
Phone number: 319-239-4203
Mailing Address
NICOLE LEE RUSSELL MPA, CADC
1431 INGERSOLL RD
WATERLOO, IA 50701-6047
Phone number: 319-239-4203
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