Phillip Russell
Phillip Russell is a Peer Specialist in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
920 Bellevue St SEWashington, DC 20032-6030
Phone: (202) 562-4939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1487335543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2023 |
| Last updated in NPPES | July 31, 2023 |
| Certification date | July 31, 2023 |
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