Individual provider · Type 1 NPI

Geneva Russell

Peer Specialist · Dayton, OH

NPI number 1780570648 Active

Practice location

865 S Patterson Blvd
Dayton, OH 45402-2624

Call (937) 966-4673 Map

Mailing address

100 Crowne Point Pl
Cincinnati, OH 45241-5427

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XNone listed
Behavior Technician 106S00000XNone 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 1780570648

Geneva Russell's National Provider Identifier is 1780570648, issued on Jun 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dayton, OH. The record was last updated on Jun 17, 2025.