SearchOhio101YM0800X

Crystal Russell, LPCC, CDCA

NPI 1538542097 · on the registry since 2015 · sole proprietor

Practice

Address
1338 W 4th St
Ontario, OH 44906
Phone
(419) 528-5994
Clinicians at this address
3

Additional practice sites

  • 4641 Fulton Dr Nw, Canton, OH
  • 2285 Benden Dr, Wooster, OH

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
101YA0400X
101YM0800X
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio