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Jennifer Russell
Addiction (Substance Use Disorder) Counselor in Santa Ana, California
NPI 1659957595

Jennifer Russell is an Addiction (Substance Use Disorder) Counselor based in Santa Ana, CA and is specialized in Addiction (Substance Use Disorder). Jennifer Russell practices in Santa Ana, CA. The NPI Number for Jennifer Russell is 1659957595 and holds a License No. R1256000617 (California).

The current practice location address for Jennifer Russell is 2101 E 1St St, Santa Ana, CA and can be reached out via phone at 714-542-3581.

Location: 2101 E 1St St, Santa Ana, CA, 92705-4007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659957595
Provider Name
Jennifer Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 E 1St St, Santa Ana, CA, 92705-4007
Phone Number
714-542-3581
Fax Number
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 E 1St St
City
Santa Ana
State
California
Zip
92705-4007
Phone Number
714-542-3581
Fax Number
person
Provider Business Mailing Address Details
Address
2101 E 1St St
City
Santa Ana
State
California
Zip
92705-4007
Phone Number
714-542-3581
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.
R1256000617 (California)
Definition
Definition to come...
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