Individual provider · Type 1 NPI

Joseph Donald Russom

Peer Specialist · Muskegon, MI

NPI number 1356077911 Active

Practice location

1221 Shonat St
Muskegon, MI 49442-5363

Call (231) 666-4443 Map

Mailing address

1215 Fulton St E
Grand Rapids, MI 49503-3849

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 1356077911

Joseph Donald Russom's National Provider Identifier is 1356077911, issued on Jul 26, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Muskegon, MI. The record was last updated on Jul 26, 2022.