Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS CRYSTAL M RUSSELL, LPCC, CDCA
Active Sole ProprietorMISS CRYSTAL M RUSSELL, LPCC, CDCA is a Mental Health Counselor healthcare provider located in ONTARIO, Ohio. NPI 1538542097 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ONTARIO, OH
Registration Details
- NPI Number
- 1538542097
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2015 (11.132153815587 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
C15000630 (OH)CDCA162724 (OH)C1500630 (OH)E.2102678 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1338 W 4TH STONTARIO, OH, 449061828Browse OH providers · Browse ZIP 44906
- Phone
- 4195285994
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.