person
Micheal Dean Axley Russ
Addiction (Substance Use Disorder) Counselor in Chico, California
NPI 1285170795

Micheal Dean Axley Russ is an Addiction (Substance Use Disorder) Counselor based in Chico, CA and is specialized in Addiction (Substance Use Disorder). Micheal Dean Axley Russ practices in Chico, CA. The NPI Number for Micheal Dean Axley Russ is 1285170795 and holds a License No. (California).

The current practice location address for Micheal Dean Axley Russ is 590 Rio Lindo Ave, Chico, CA and can be reached out via phone at 530-345-3491.

Location: 590 Rio Lindo Ave, Chico, CA, 95973-0257
person
Provider Profile Details
NPI Number
1285170795
Provider Name
Micheal Dean Axley Russ
Credential
Provider Entity Type
Individual
Gender
Male
Address
590 Rio Lindo Ave, Chico, CA, 95973-0257
Phone Number
530-345-3491
Fax Number
Provider Enumeration Date
01/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
590 Rio Lindo Ave
City
State
Zip
95926-1817
Phone Number
530-345-3491
Fax Number
person
Provider Business Mailing Address Details
Address
590 Rio Lindo Ave
City
State
Zip
95926-1817
Phone Number
530-345-3491
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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