person
Terrance Russell, DVFACILITATOR
Professional Counselor in Long Beach, California
NPI 1467972851

Terrance Russell is a Professional Counselor based in Long Beach, CA and is specialized in Professional. Terrance Russell practices in Long Beach, CA and has the professional credentials of DVFACILITATOR. The NPI Number for Terrance Russell is 1467972851 and holds a License No. (California).

The current practice location address for Terrance Russell is 1355 Redondo Ave Ste 2, Long Beach, CA and can be reached out via phone at 323-413-4925.

Location: 1355 Redondo Ave Ste 2, Long Beach, CA, 90813-2982
person
Provider Profile Details
NPI Number
1467972851
Provider Name
Terrance Russell
Credential
DVFACILITATOR
Provider Entity Type
Individual
Gender
Male
Address
1355 Redondo Ave Ste 2, Long Beach, CA, 90813-2982
Phone Number
323-413-4925
Fax Number
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1355 Redondo Ave Ste 2
City
State
Zip
90804-2844
Phone Number
323-413-4925
Fax Number
person
Provider Business Mailing Address Details
Address
1355 Redondo Ave Ste 2
City
State
Zip
90804-2844
Phone Number
323-413-4925
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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