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Nicole Russell
Counselor in Shaker Heights, Ohio
NPI 1770882516

Nicole Russell is a Counselor based in Shaker Heights, OH. Nicole Russell practices in Shaker Heights, OH. The NPI Number for Nicole Russell is 1770882516 and holds a License No. C.1000084-TRNE (Ohio).

The current practice location address for Nicole Russell is 22001 Fairmount Blvd, Shaker Heights, OH and can be reached out via phone at 216-932-2800.

Location: 22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770882516
Provider Name
Nicole Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Phone Number
216-932-2800
Fax Number
Provider Enumeration Date
03/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-932-2800
Fax Number
person
Provider Business Mailing Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-932-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.1000084-TRNE (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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