Most Relevant Information
Provider Data
| NPI Number: | 1003420183 |
| Provider Name: | BRITTANY LYNNE RUSSELL |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2020 |
| Last Updated: | 09/04/2020 |
Provider Practice Location
591 S KNIK GOOSE BAY RD
WASILLA
AK
996548062
Practice Location Phone/Fax
| Phone: | 9073131333 |
| Fax: | 9073578781 |
Provider Mailing Location
591 S KNIK GOOSE BAY RD
WASILLA
AK
996548062
Provider Mailing Phone/Fax
| Phone: | 9073131333 |
| Fax: | 9073578781 |