Individual provider · Type 1 NPI

Jamisha Lenetta Russell

Rehabilitation Practitioner · Riverside, CA

NPI number 1912420035 Active

Practice location

2085 Rustin Ave Ste A
Riverside, CA 92507-2498

Call (951) 715-5040 Map

Mailing address

2085 Rustin Ave
Riverside, CA 92507-2498

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Peer Specialist 175T00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1912420035

Jamisha Lenetta Russell's National Provider Identifier is 1912420035, issued on Jul 20, 2017. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Riverside, CA. The record was last updated on Apr 30, 2025.