Individual provider · Type 1 NPI

Jenifer Lynn Russell, RADT

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1124865944 Active

Practice location

1733 Euclid Ave
San Diego, CA 92105-5414

Call (619) 263-0433 Map

Fax (614) 926-3399

Mailing address

1554 Sams Hill Rd Apt 13
El Cajon, CA 92021-3075

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124865944

Jenifer Lynn Russell, RADT's National Provider Identifier is 1124865944, issued on Jul 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Mar 6, 2025.