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Russell Davidson
Mental Health Counselor in Santa Rosa, California
NPI 1811428345

Russell Davidson is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Russell Davidson practices in Santa Rosa, CA. The NPI Number for Russell Davidson is 1811428345 and holds a License No. (California).

The current practice location address for Russell Davidson is 3322 Chanate Rd, Santa Rosa, CA and can be reached out via phone at 707-565-4850.

Location: 3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811428345
Provider Name
Russell Davidson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Phone Number
707-565-4850
Fax Number
Provider Enumeration Date
03/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4850
Fax Number
person
Provider Business Mailing Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4850
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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