NPI 1124971502

Sarah Adelle Russom

Practitioner Peer Specialist Hayti, MO

Practice location

Address: 500 Highway J, Hayti, MO 63851-1200
Phone: (573) 359-2600

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1124971502
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2026
Record last updated: 17 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.