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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396495842

Jennifer Russell, LCDC-INTERN is an Addiction (Substance Use Disorder) Counselor in Fort Worth, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

700 Hemphill St Ste A
Fort Worth, TX 76104-3105
Phone: (817) 334-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5201 McCart Ave, Fort Worth, TX 76115-3711 — (817) 207-8778

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 57705 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1396495842
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC-INTERN
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

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