Individual provider · Type 1 NPI

Randa Russell, PRSS, QBHP

Peer Specialist · Fort Smith, AR

NPI number 1104572320 Active

Practice location

3111 S 70th St
Fort Smith, AR 72903-5017

Call (479) 452-6650 Map

Fax (479) 452-5847

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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 1104572320

Randa Russell, PRSS, QBHP's National Provider Identifier is 1104572320, issued on Feb 25, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fort Smith, AR. The record was last updated on Feb 25, 2022.