IndividualActive
Phillip Russell
NPI 1487335543 · Peer Specialist · Washington, DC
Provider details
- NPI number
- 1487335543
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
920 Bellevue St Se
Washington, DC 20032-6030
Phone: (202) 562-4939
Approximate (ZIP-level) locationGet directions
Mailing address
920 Bellevue St Se
Washington, DC 20032-6030
Registry dates
- Enumerated
- 2023-07-31
- Last updated
- 2023-07-31
- Certified
- 2023-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.