Randa Russell is a Peer Specialist based in Ogden, UT. Randa Russell practices in Ogden, UT. The NPI Number for Randa Russell is 1376395384 and holds a License No. (Utah).
The current practice location address for Randa Russell is 670 26Th St Apt 21, Ogden, UT and can be reached out via phone at 801-719-7081.
Location: 670 26Th St Apt 21, Ogden, UT, 84401-4306
Provider Profile Details
NPI Number
1376395384
Provider Name
Randa Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
670 26Th St Apt 21, Ogden, UT, 84401-4306
Phone Number
801-719-7081
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
670 26Th St Apt 21
City
State
Zip
84401-4306
Phone Number
801-719-7081
Fax Number
Provider Business Mailing Address Details
Address
670 26Th St Apt 21
City
State
Zip
84401-4306
Phone Number
801-719-7081
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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