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Michelle Russell
Addiction (Substance Use Disorder) Counselor in San Pablo, California
NPI 1326406034

Michelle Russell is an Addiction (Substance Use Disorder) Counselor based in Antioch, CA and is specialized in Addiction (Substance Use Disorder). Michelle Russell practices in San Pablo, CA. The NPI Number for Michelle Russell is 1326406034 and holds a License No. (California).

The current practice location address for Michelle Russell is 1901 Church Ln, San Pablo, CA and can be reached out via phone at 510-236-3134.

Location: 1901 Church Ln, San Pablo, CA, 94531-7419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326406034
Provider Name
Michelle Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1901 Church Ln, San Pablo, CA, 94531-7419
Phone Number
510-236-3134
Fax Number
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1901 Church Ln
City
San Pablo
State
California
Zip
94806-3707
Phone Number
510-236-3134
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Church Ln
City
San Pablo
State
California
Zip
94806-3707
Phone Number
510-236-3134
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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