Victor Jones Russell, LCAS, CSAC

NPI #1164563417 in Wallace, North Carolina

Provider Information

NPI Number: 1164563417
Entity Type: Individual
Name: Victor Jones Russell, LCAS, CSAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCAS, CSAC
Enumeration Date: Feb 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 116 W MAIN ST
City: Wallace
State: North Carolina
ZIP Code: 28466-2902
Phone: (910) 285-5527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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