Individual provider · Type 1 NPI

Shawnterra Marie Russell

Peer Specialist · Cleveland, OH

NPI number 1063263416 Active

Practice location

12608 Grimsby Ave
Cleveland, OH 44135-4850

Call (330) 490-9395 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.006787 (OH)
Adult Companion 372600000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1063263416

Shawnterra Marie Russell's National Provider Identifier is 1063263416, issued on Apr 1, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on Sep 16, 2025.