Individual
OLIVIA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 HOSPITAL ST, PASCAGOULA, MS 39581-5320
(228) 283-4140
Mailing address
322 ELMER ST, BILOXI, MS 39530-2218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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