VICTOR JONES RUSSELL LCAS, CSAC
NPI 1164563417
Counselor - Addiction (Substance Use Disorder) in Wallace, NC

Active since February 09, 2007
116 W MAIN ST, WALLACE, NC 28466(910) 285-5527(910) 285-5526 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victor Jones Russell Lcas, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR JONES RUSSELL LCAS, CSAC (NPI 1164563417) is an individual addiction (substance use disorder) provider in Wallace, North Carolina, licensed in North Carolina (0558) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1164563417
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameVICTOR JONES RUSSELLCredential: LCAS, CSAC
Location Address116 W MAIN STWallace, NC 28466-2902
Mailing Address230 Spring DrJacksonville, NC 28540-9161 · (910) 285-5527 · Fax (910) 285-5526
Fax(910) 285-5526
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1164563417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · 0558
116 W MAIN ST, Wallace, NC 28466

Other Names 1

Former Name (1)Mrs. Sharita Lawson Ms

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
116 W MAIN ST
WALLACE, NC 28466
Community/Behavioral Health
116 W MAIN ST
WALLACE, NC 28466
Counselor (Mental Health)
116 W MAIN ST
WALLACE, NC 28466
Massage Therapist
116 W MAIN ST
WALLACE, NC 28466
Case Management
116 W MAIN ST
WALLACE, NC 28466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Russell's NPI number?

The NPI number for Victor Russell is 1164563417. It was assigned to this individual provider in the NPPES registry on February 9, 2007. The provider is also known as Mrs. Sharita Lawson Ms.

Where is Victor Russell located?

Victor Russell practices at 116 W Main St, Wallace, NC 28466. The listed phone number is (910) 285-5527.

What is Victor Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Victor Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.