Jennifer Russell, LCDC-INTERN is an addiction (substance use disorder) counselor in Fort Worth, TX. Jennifer Russell, LCDC-INTERN NPI is 1396495842. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
700 HEMPHILL ST STE A
FORT WORTH, TX
ZIP 76104-105
Phone: (817) 334-0111
The enumeration date for this NPI number is 3/28/2022 and was last updated on 7/19/2023.