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Bradley Nelson Russell
Addiction (Substance Use Disorder) Counselor in El Cajon, California
NPI 1477087625

Bradley Nelson Russell is an Addiction (Substance Use Disorder) Counselor based in El Cajon, CA and is specialized in Addiction (Substance Use Disorder). Bradley Nelson Russell practices in El Cajon, CA. The NPI Number for Bradley Nelson Russell is 1477087625 and holds a License No. (California).

The current practice location address for Bradley Nelson Russell is 1364 Johnson Ave. Suite 111, El Cajon, CA and can be reached out via phone at 619-440-4801 and via fax at 619-442-1592.

Location: 1364 Johnson Ave. Suite 111, El Cajon, CA, 92020-1650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477087625
Provider Name
Bradley Nelson Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1364 Johnson Ave. Suite 111, El Cajon, CA, 92020-1650
Phone Number
619-440-4801
Fax Number
619-442-1592
Provider Enumeration Date
04/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1364 Johnson Ave. Suite 111
City
El Cajon
State
California
Zip
92020
Phone Number
619-440-4801
Fax Number
619-442-1592
person
Provider Business Mailing Address Details
Address
1364 Johnson Ave. Suite 111
City
El Cajon
State
California
Zip
92020
Phone Number
619-440-4801
Fax Number
619-442-1592
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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