person
David Lee Russell JR., LCDP
Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island
NPI 1407234172

David Lee Russell JR. is an Addiction (Substance Use Disorder) Counselor based in Providence, RI and is specialized in Addiction (Substance Use Disorder). David Lee Russell JR. practices in Providence, RI and has the professional credentials of LCDP. The NPI Number for David Lee Russell JR. is 1407234172 and holds a License No. (Rhode Island).

The current practice location address for David Lee Russell JR. is 60 Comstock Ave, Providence, RI and can be reached out via phone at 401-699-1088.

Location: 60 Comstock Ave, Providence, RI, 02907
person
Provider Profile Details
NPI Number
1407234172
Provider Name
David Lee Russell JR.
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
60 Comstock Ave, Providence, RI, 02907
Phone Number
401-699-1088
Fax Number
Provider Enumeration Date
05/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
60 Comstock Ave
City
State
Zip
02907-1206
Phone Number
401-699-1088
Fax Number
person
Provider Business Mailing Address Details
Address
60 Comstock Ave
City
State
Zip
02907-1206
Phone Number
401-699-1088
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Rhode Island)
Definition
Definition to come...
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