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Mr. Michael Joseph Russell
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1497088157

Michael Joseph Russell is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Michael Joseph Russell practices in Fresno, CA. The NPI Number for Michael Joseph Russell is 1497088157 and holds a License No. (California).

The current practice location address for Michael Joseph Russell is 4928 E Clinton Way, Fresno, CA and can be reached out via phone at 559-255-8838.

Location: 4928 E Clinton Way, Fresno, CA, 93711-2137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497088157
Provider Name
Michael Joseph Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
4928 E Clinton Way, Fresno, CA, 93711-2137
Phone Number
559-255-8838
Fax Number
Provider Enumeration Date
09/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4928 E Clinton Way
City
Fresno
State
California
Zip
93727-1526
Phone Number
559-255-8838
Fax Number
person
Provider Business Mailing Address Details
Address
4928 E Clinton Way
City
Fresno
State
California
Zip
93727-1526
Phone Number
559-255-8838
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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