| Victor Jones Russell, LCAS, CSAC | |
|
116 W Main St, Wallace, NC 28466-2902 | |
| (910) 285-5527 | |
| (910) 285-5526 |
| Full Name | Victor Jones Russell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 116 W Main St, Wallace, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164563417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0558 (North Carolina) | Primary |
| 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 |
Mrs. Dametri Pratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Cumberland St, Wallace, NC 28466 Phone: 910-284-7703 | |
Michael James, LSC, NCC, LCMHCA, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 W Murphy St, Wallace, NC 28466 Phone: 910-284-4419 |