Russell, Samantha D

Russell, Samantha D is an sole proprietor health care provider with primary practice located at 2111 S 7Th St , Ironton OH 45638-2538. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Russell, Samantha D can be contacted via phone (740) 550-5228.

Contact Information

Primary practice address
2111 S 7Th St Ironton OH 45638-2538
Phone: (740) 550-5228
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.171590 Ohio

Profile Details

NPI number 1508410705
LBN Legal business name Russell, Samantha D
Credentials CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2019
Last updated Apr 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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