Brandon Russell is a Peer Specialist based in Ashland, KY. Brandon Russell practices in Ashland, KY. The NPI Number for Brandon Russell is 1750087391 and holds a License No. (Kentucky).
The current practice location address for Brandon Russell is 3701 Landsdowne Dr, Ashland, KY and can be reached out via phone at 866-233-1955.
Location: 3701 Landsdowne Dr, Ashland, KY, 41105-0790
Provider Profile Details
NPI Number
1750087391
Provider Name
Brandon Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
3701 Landsdowne Dr, Ashland, KY, 41105-0790
Phone Number
866-233-1955
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
3701 Landsdowne Dr
City
State
Zip
41102-5422
Phone Number
866-233-1955
Fax Number
Provider Business Mailing Address Details
Address
3701 Landsdowne Dr
City
State
Zip
41102-5422
Phone Number
866-233-1955
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
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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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