Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenifer Lynn Russell, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124865944

Jenifer Lynn Russell, RADT is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1733 Euclid Ave
San Diego, CA 92105-5414
Phone: (619) 263-0433
Fax: (614) 926-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1124865944
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorYes
NPI enumeratedJuly 9, 2024
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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