MR. Carey Lavon Russell
NPI #1447123310 in Loyalton, California
Provider Information
- NPI Number
- 1447123310
- Entity Type
- Individual
- Name
- MR. Carey Lavon Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Sep 26, 2025
- Last Updated
- Oct 10, 2025
Practice Location
- Address
- 704 MILL ST
- City
- Loyalton
- State
- California
- ZIP Code
- 96118-5798
- Phone
- (530) 993-6746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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