Individual provider · Type 1 NPI

Alyssa R. Russomanno

Peer Specialist · San Antonio, TX

NPI number 1285503904 Active

Practice location

3615 Culebra Rd
San Antonio, TX 78228-5914

Fax (210) 314-8676

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X51399-0325 (TX)
Peer Specialist Primary 175T00000X51444-0325 (TX)

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 1285503904

Alyssa R. Russomanno's National Provider Identifier is 1285503904, issued on Oct 31, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 31, 2025.