Jessica Marie Russell, CADAC II

NPI #1720869613 in Clayton, Indiana

Provider Information

NPI Number: 1720869613
Entity Type: Individual
Name: Jessica Marie Russell, CADAC II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADAC II
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 1972 KNOX DR
City: Clayton
State: Indiana
ZIP Code: 46118-9485
Phone: (317) 654-8315

Specialties & Taxonomy Codes

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

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