Jared Russell
Jared Russell is a Peer Specialist in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2023.
- Licensed in
- ND
- In the registry since
- 2023
Practice location Address checks out
1308 Elbowood LnBismarck, ND 58503-5712
Phone: (701) 751-8260
Fax: (701) 751-2274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 00000 (ND) |
|---|
Record details
| NPI number | 1588443477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | September 28, 2023 |
| Certification date | September 28, 2023 |
| Mailing address | 1308 Elbowood Ln, Bismarck, ND 58503-5712 |
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1308 Elbowood Ln, Bismarck, ND 58503-5712 · (701) 751-8260
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1308 Elbowood Ln, Bismarck, ND 58503-5712 · (701) 751-8260