Individual provider · Type 1 NPI

Klay Russell

Peer Specialist · Richmond, MI

NPI number 1245955426 Active

Practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Call (810) 392-2167 Map

Mailing address

1712 Water St
Port Huron, MI 48060-4136

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 1245955426

Klay Russell's National Provider Identifier is 1245955426, issued on Oct 10, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Richmond, MI. The record was last updated on Oct 10, 2022.