Individual provider · Type 1 NPI
Victor Jones Russell, LCAS, CSAC
Addiction (Substance Use Disorder) Counselor · Wallace, NC
NPI number
1164563417
Active
Practice location
116 W Main St
Wallace, NC 28466-2902
Fax (910) 285-5526
Mailing address
230 Spring Dr
Jacksonville, NC 28540-9161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0558 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
5 other providers at this address
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- The Lawson's HouseCommunity/Behavioral Health Agency Wallace, NC NPI 1285760256
- The Lawson's HouseCase Management Agency Wallace, NC NPI 1871713008
- The Lawsons HouseMental Health Counselor Wallace, NC NPI 1447470679
Other addiction (substance use disorder) counselor providers in Wallace
About NPI 1164563417
Victor Jones Russell, LCAS, CSAC's National Provider Identifier is 1164563417, issued on Feb 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wallace, NC. The record was last updated on Jul 8, 2007.