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Jamisha Lenetta Russell
Peer Specialist in Riverside, California
NPI 1912420035

Jamisha Lenetta Russell is a Peer Specialist based in Riverside, CA. Jamisha Lenetta Russell practices in Riverside, CA. The NPI Number for Jamisha Lenetta Russell is 1912420035 and holds a License No. (California).

The current practice location address for Jamisha Lenetta Russell is 2085 Rustin Ave Ste A, Riverside, CA and can be reached out via phone at 951-715-5040.

Location: 2085 Rustin Ave Ste A, Riverside, CA, 92507-2498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912420035
Provider Name
Jamisha Lenetta Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2085 Rustin Ave Ste A, Riverside, CA, 92507-2498
Phone Number
951-715-5040
Fax Number
Provider Enumeration Date
07/20/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2085 Rustin Ave Ste A
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-715-5040
Fax Number
person
Provider Business Mailing Address Details
Address
2085 Rustin Ave Ste A
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-715-5040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
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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