Abbey Russell, PC | |
3086 St Rt 160, Gallipolis, OH 45631-8409 | |
(740) 441-4436 | |
(740) 441-4495 |
Full Name | Abbey Russell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3086 St Rt 160, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558783159 | NPI | - | NPPES |
0200820 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C1000129 (Ohio) | Primary |
Entity Name | Integrated Services For Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073578431 PECOS PAC ID: 9234372525 Enrollment ID: O20130905000931 |
Mailing Address | Practice Location Address |
---|---|
Abbey Russell, PC 3086 St Rt 160, Gallipolis, OH 45631-8409 Ph: (740) 441-4436 | Abbey Russell, PC 3086 St Rt 160, Gallipolis, OH 45631-8409 Ph: (740) 441-4436 |
Ms. Bette Cromer Althof, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1456 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-8289 Fax: 740-446-2926 | |
Angela Stowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3090 Sr 160, Gallipolis, OH 45631 Phone: 740-592-6724 | |
Rebecca Ashburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-2159 | |
Amber Mcguire Hopkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1086 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-9129 Fax: 740-446-9021 | |
Summer Dawn Wickersham, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 254 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-578-4824 Fax: 740-578-4821 | |
Jonathan Holley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-9800 | |
Angel Jean Smith, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1354 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-9800 Fax: 740-441-9400 |