Individual provider · Type 1 NPI

Jasmyne Russell-Dicker, CPPS

Peer Specialist · Fayetteville, NC

NPI number 1093641912 Active

Practice location

214 Fairway Dr
Fayetteville, NC 28305-5502

Call (910) 729-9867 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X2024-1165201 (NC)

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.

5 other providers at this address

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About NPI 1093641912

Jasmyne Russell-Dicker, CPPS's National Provider Identifier is 1093641912, issued on Jun 18, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 18, 2026.