person
Dedra Janene Russell, RAS
Substance Abuse Rehabilitation Facility in Sacramento, California
NPI 1467693432

Dedra Janene Russell is a Substance Abuse Rehabilitation Facility based in Sacramento, CA. Dedra Janene Russell practices in Sacramento, CA and has the professional credentials of RAS. The NPI Number for Dedra Janene Russell is 1467693432 and holds a License No. 340018AN (California).

The current practice location address for Dedra Janene Russell is 1001 Grand Ave, Sacramento, CA and can be reached out via phone at 916-929-1951 and via fax at 916-929-5116. You can also correspond with Dedra Janene Russell through the mailing address at PO BOX 38369, SACRAMENTO, CA - 95838-0369 (mailing address contact number: 916-929-1951).

Location: 1001 Grand Ave, Sacramento, CA, 95838-0369
person
Provider Profile Details
NPI Number
1467693432
Provider Name
Dedra Janene Russell
Credential
RAS
Provider Entity Type
Individual
Gender
Female
Address
1001 Grand Ave, Sacramento, CA, 95838-0369
Phone Number
916-929-1951
Fax Number
916-929-5116
Provider Enumeration Date
03/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 Grand Ave
City
State
Zip
95838-3512
Phone Number
916-929-1951
Fax Number
916-929-5116
person
Provider Business Mailing Address Details
Address
Po Box 38369
City
State
Zip
95838-0369
Phone Number
916-929-1951
Fax Number
916-929-5116
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
340018AN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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