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Mrs. Jamie D. Russell
Mental Health Counselor in Gardena, California
NPI 1043450158

Jamie D. Russell is a Mental Health Counselor based in Huntington Beach, CA and is specialized in Mental Health. Jamie D. Russell practices in Gardena, CA. The NPI Number for Jamie D. Russell is 1043450158 and holds a License No. (California).

The current practice location address for Jamie D. Russell is 130 W Victoria St, Gardena, CA and can be reached out via phone at 310-715-2020.

Location: 130 W Victoria St, Gardena, CA, 92648-3402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043450158
Provider Name
Jamie D. Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 W Victoria St, Gardena, CA, 92648-3402
Phone Number
310-715-2020
Fax Number
Provider Enumeration Date
03/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider Business Mailing Address Details
Address
130 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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