person
Victor Jones Russell, LCAS,CSAC
Addiction (Substance Use Disorder) Counselor in Wallace, North Carolina
NPI 1164563417

Victor Jones Russell is an Addiction (Substance Use Disorder) Counselor based in Jacksonville, NC and is specialized in Addiction (Substance Use Disorder). Victor Jones Russell practices in Wallace, NC and has the professional credentials of LCAS,CSAC. The NPI Number for Victor Jones Russell is 1164563417 and holds a License No. 0558 (North Carolina).

The current practice location address for Victor Jones Russell is 116 W Main St, Wallace, NC and can be reached out via phone at 910-285-5527 and via fax at 910-285-5526.

Location: 116 W Main St, Wallace, NC, 28540-9161
person
Provider Profile Details
NPI Number
1164563417
Provider Name
Victor Jones Russell
Credential
LCAS,CSAC
Provider Entity Type
Individual
Gender
Male
Address
116 W Main St, Wallace, NC, 28540-9161
Phone Number
910-285-5527
Fax Number
910-285-5526
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
116 W Main St
City
State
Zip
28466-2902
Phone Number
910-285-5527
Fax Number
910-285-5526
person
Provider Business Mailing Address Details
Address
116 W Main St
City
State
Zip
28466-2902
Phone Number
910-285-5527
Fax Number
910-285-5526
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0558 (North Carolina)
Definition
Definition to come...
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