Individual provider · Type 1 NPI

Warren Russell

Peer Specialist · Bronx, NY

NPI number 1083494835 Active

Practice location

2111 Southern Blvd Apt 12A
Bronx, NY 10460-1446

Call (347) 862-3928 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNYCPS-P-5257 (NY)

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 1083494835

Warren Russell's National Provider Identifier is 1083494835, issued on Sep 29, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bronx, NY. The record was last updated on Oct 3, 2023.