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JESSICA MARIE RUSSELL CADAC II
NPI 1720869613
Counselor - Addiction (Substance Use Disorder) in Clayton, IN

Active since October 09, 2023
1972 KNOX DR, CLAYTON, IN 46118(317) 654-8315 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Marie Russell Cadac Ii NPPES

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

JESSICA MARIE RUSSELL CADAC II (NPI 1720869613) is an individual addiction (substance use disorder) provider in Clayton, Indiana, licensed in Indiana (C2-51276) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1720869613
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA MARIE RUSSELLCredential: CADAC II
Location Address1972 KNOX DRClayton, IN 46118-9485
Mailing Address1972 Knox DrClayton, IN 46118-9485 · (317) 654-8315
Phone(317) 654-8315
Sole ProprietorNo
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 7, 2023
✔ NPI 1720869613 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 IN · C2-51276
1972 KNOX DR, Clayton, IN 46118
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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 Jessica Russell's NPI number?

The NPI number for Jessica Russell is 1720869613. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Jessica Russell located?

Jessica Russell practices at 1972 Knox Dr, Clayton, IN 46118. The listed phone number is (317) 654-8315.

What is Jessica 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 Jessica Russell was last updated on October 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.