person
Ms. Peggy L Russell
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1770739229

Peggy L Russell is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Peggy L Russell practices in Fresno, CA. The NPI Number for Peggy L Russell is 1770739229 and holds a License No. (California).

The current practice location address for Peggy L Russell is 3707 E Shields Ave, Fresno, CA and can be reached out via phone at 559-229-9040 and via fax at 559-229-9060.

Location: 3707 E Shields Ave, Fresno, CA, 93726-7029
person
Provider Profile Details
NPI Number
1770739229
Provider Name
Peggy L Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
3707 E Shields Ave, Fresno, CA, 93726-7029
Phone Number
559-229-9040
Fax Number
559-229-9060
Provider Enumeration Date
08/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C6191214 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
3707 E Shields Ave
City
State
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
559-229-9060
person
Provider Business Mailing Address Details
Address
3707 E Shields Ave
City
State
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
559-229-9060
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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