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Mr. Vincent Russo, CAADAC
Addiction (Substance Use Disorder) Counselor in Berkeley, California
NPI 1487993960

Vincent Russo is an Addiction (Substance Use Disorder) Counselor based in Berkeley, CA and is specialized in Addiction (Substance Use Disorder). Vincent Russo practices in Berkeley, CA and has the professional credentials of CAADAC. The NPI Number for Vincent Russo is 1487993960 and holds a License No. (California).

The current practice location address for Vincent Russo is 1931 Center St, Berkeley, CA and can be reached out via phone at 916-742-0622.

Location: 1931 Center St, Berkeley, CA, 94704-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487993960
Provider Name
Vincent Russo
Credential
CAADAC
Provider Entity Type
Individual
Gender
Male
Address
1931 Center St, Berkeley, CA, 94704-1105
Phone Number
916-742-0622
Fax Number
Provider Enumeration Date
02/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1931 Center St
City
Berkeley
State
California
Zip
94704-1105
Phone Number
916-742-0622
Fax Number
person
Provider Business Mailing Address Details
Address
1931 Center St
City
Berkeley
State
California
Zip
94704-1105
Phone Number
916-742-0622
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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