person
Brenda Sue Russell, AODCOUNSELOR
Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California
NPI 1225289176

Brenda Sue Russell is an Addiction (Substance Use Disorder) Counselor based in San Luis Obispo, CA and is specialized in Addiction (Substance Use Disorder). Brenda Sue Russell practices in San Luis Obispo, CA and has the professional credentials of AODCOUNSELOR. The NPI Number for Brenda Sue Russell is 1225289176 and holds a License No. (California).

The current practice location address for Brenda Sue Russell is 2180 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-4973 and via fax at 805-781-1227.

Location: 2180 Johnson Ave, San Luis Obispo, CA, 93401-4513
person
Provider Profile Details
NPI Number
1225289176
Provider Name
Brenda Sue Russell
Credential
AODCOUNSELOR
Provider Entity Type
Individual
Gender
Female
Address
2180 Johnson Ave, San Luis Obispo, CA, 93401-4513
Phone Number
805-781-4973
Fax Number
805-781-1227
Provider Enumeration Date
10/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225289176 01 CA DRUG AND ALCOHOL SPECIALIST
institution
Provider Business Practice Location Address Details
Address
2180 Johnson Ave
City
State
Zip
93401-4513
Phone Number
805-781-4973
Fax Number
805-781-1227
person
Provider Business Mailing Address Details
Address
2180 Johnson Ave
City
State
Zip
93401-4513
Phone Number
805-781-4973
Fax Number
805-781-1227
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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