Individual
CRYSTAL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 BUD ST, FRENCH CREEK, WV 26218
(304) 516-8208
Mailing address
69 BUD ST, FRENCH CREEK, WV 26218
(304) 516-8208
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/11/2023
Last updated
10/30/2025
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