Individual provider · Type 1 NPI
Jessica Marie Russell, CADAC II
Addiction (Substance Use Disorder) Counselor · Clayton, IN
NPI number
1720869613
Active
Practice location
1972 Knox Dr
Clayton, IN 46118-9485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C2-51276 (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1720869613
Jessica Marie Russell, CADAC II's National Provider Identifier is 1720869613, issued on Oct 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clayton, IN. The record was last updated on Oct 9, 2023.