Individual provider · Type 1 NPI
Randa Russell
Peer Specialist · Ogden, UT
NPI number
1376395384
Active
Practice location
670 26th St Apt 21
Ogden, UT 84401-4306
Other practice locations
- 934 S Main St, Layton, UT 84041-7135 · (801) 336-1845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1376395384
Randa Russell's National Provider Identifier is 1376395384, issued on Apr 3, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ogden, UT. The record was last updated on Apr 3, 2024.