Victor Jones Russell, LCAS, CSAC is a
Counselor - Addiction (substance Use Disorder) based in Wallace, North Carolina. Victor Jones Russell is licensed to practice in North Carolina (license number 0558) and his current practice location is
116 W Main St, Wallace, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 285-5527.
NPI number for Victor Jones Russell is 1164563417 and his current mailing address is 230 Spring Dr, Jacksonville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164563417.
Healthcare Provider's Profile
| Full Name | Victor Jones Russell |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 116 W Main St, Wallace, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164563417
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Victor Jones Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164563417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0558 (North Carolina) | 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. Victor Jones 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 Address | Practice Location Address |
|---|
Victor Jones Russell, LCAS, CSAC
230 Spring Dr,
Jacksonville, NC 28540-9161
Ph: (910) 285-5527 | Victor Jones Russell, LCAS, CSAC
116 W Main St,
Wallace, NC 28466-2902
Ph: (910) 285-5527 |
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