Russell Jay Niland
Russell Jay Niland is a Peer Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2026.
- Licensed in
- CA
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
1011 Camino Del Rio S Ste 300San Diego, CA 92108
Phone: (619) 287-8225
Fax: (619) 393-0386
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-WMGELR (CA) |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X (CA) |
Record details
| NPI number | 1639010101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 1, 2026 |
| Last updated in NPPES | April 2, 2026 |
| Certification date | April 2, 2026 |
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