person
Russell Thomas
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1174040430

Russell Thomas is an Addiction (Substance Use Disorder) Counselor based in Harbor City, CA and is specialized in Addiction (Substance Use Disorder). Russell Thomas practices in Los Angeles, CA. The NPI Number for Russell Thomas is 1174040430 and holds a License No. 169206 (California).

The current practice location address for Russell Thomas is 600 W Manchester Ave, Los Angeles, CA and can be reached out via phone at 424-703-0344.

Location: 600 W Manchester Ave, Los Angeles, CA, 90710-1061
person
Provider Profile Details
NPI Number
1174040430
Provider Name
Russell Thomas
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 W Manchester Ave, Los Angeles, CA, 90710-1061
Phone Number
424-703-0344
Fax Number
Provider Enumeration Date
08/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 W Manchester Ave
City
State
Zip
90044-5770
Phone Number
424-703-0344
Fax Number
person
Provider Business Mailing Address Details
Address
600 W Manchester Ave
City
State
Zip
90044-5770
Phone Number
424-703-0344
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
169206 (California)
Definition
Definition to come...
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