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

Victor Jones Russell, LCAS, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164563417

Victor Jones Russell, LCAS, CSAC is an Addiction (Substance Use Disorder) Counselor in Wallace, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

116 W Main St
Wallace, NC 28466-2902
Phone: (910) 285-5527
Fax: (910) 285-5526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0558 (NC)

Record details

NPI number1164563417
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS , CSAC
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 8, 2007

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