Individual provider · Type 1 NPI
Lavonne Lenair Russell, LCASA
Addiction (Substance Use Disorder) Counselor · Winston Salem, NC
NPI number
1255090353
Active
Practice location
408 Croydon Ln
Winston Salem, NC 27107-6810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 26842 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1255090353
Lavonne Lenair Russell, LCASA's National Provider Identifier is 1255090353, issued on Dec 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 16, 2021.