ROBERT EDWARD RUSSELL

ZANESVILLE, OH
NPI1932694791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  101214)
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
ROBERT EDWARD RUSSELL LCDC II
1590 COAL RUN RD.
ZANESVILLE, OH 43701
Phone number: 740-297-4417
Mailing Address
ROBERT EDWARD RUSSELL LCDC II
1590 COAL RUN RD.
ZANESVILLE, OH 43701
Phone number: 740-297-4417
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