Victoria Russell
Peer Specialist in Poplar Bluff, MO. Individual provider (NPI-1).
NPI number1346155751
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1346155751
- Entity type
- Individual (NPI-1)
- Name
- Victoria Russell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2026
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | MO | Yes |
Practice location
686 Lester StPoplar Bluff, MO 63901-5025
Phone 573-873-6833
Mailing address
686 Lester StPoplar Bluff, MO 63901-5025
Phone 573-873-6833
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All 38 Peer Specialist providers in Poplar Bluff · All 1,814 providers in Poplar Bluff
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