Search › Ohio › 3747P1801X
Shannon Russell, QMHS/CDCA
NPI 1790250504 · on the registry since 2018
Practice
- Address
- 5244 W 2nd St
Dayton, OH 45417 - Phone
- (937) 369-9916
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 171M00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-25
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