Jessica Marie Russell, CADAC II - Counselor in Clayton, IN

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Jessica Marie Russell, CADAC II is a Counselor - Addiction (substance Use Disorder) based in Clayton, Indiana. Jessica Marie Russell is licensed to practice in Indiana (license number C2-51276) and her current practice location is 1972 Knox Dr, Clayton, Indiana. She can be reached at her office (for appointments etc.) via phone at (317) 654-8315.

NPI number for Jessica Marie Russell is 1720869613 and her current mailing address is 1972 Knox Dr, Clayton, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720869613.

Contact Information

Jessica Marie Russell, CADAC II
1972 Knox Dr,
Clayton, IN 46118-9485
(317) 654-8315
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJessica Marie Russell
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1972 Knox Dr, Clayton, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720869613
  • Provider Enumeration Date: 10/09/2023
  • Last Update Date: 10/09/2023

Medical Identifiers

Medical identifiers for Jessica Marie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720869613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) C2-51276 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Marie Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Marie Russell, CADAC II
1972 Knox Dr,
Clayton, IN 46118-9485

Ph: (317) 654-8315		Jessica Marie Russell, CADAC II
1972 Knox Dr,
Clayton, IN 46118-9485

Ph: (317) 654-8315

Reviews and Comments


Counselor in Clayton, IN


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