Individual provider · Type 1 NPI

Olivia Russell

Addiction (Substance Use Disorder) Counselor · Pascagoula, MS

NPI number 1962335935 Active

Practice location

4211 Hospital St
Pascagoula, MS 39581-5320

Mailing address

322 Elmer St
Biloxi, MS 39530-2218

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962335935

Olivia Russell's National Provider Identifier is 1962335935, issued on Jun 8, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pascagoula, MS. The record was last updated on Jun 8, 2026.