Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA MARIE RUSSELL, CADAC II
ActiveAddiction (Substance Use Disorder) Counselor · CLAYTON, IN
Registration Details
- NPI Number
- 1720869613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2023 (2.5513027953306 yrs)
- Last Updated
- Oct 9, 2023
- License
-
C2-51276 (IN)
Practice Information
- Address
-
1972 KNOX DRCLAYTON, IN, 461189485Browse IN providers · Browse ZIP 46118
- Phone
- 3176548315
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.