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Russ C Mcdowell SR.
Specialist in Pollock Pines, California
NPI 1831503929

Russ C Mcdowell SR. is a Specialist based in Camino, CA. Russ C Mcdowell SR. practices in Pollock Pines, CA. The NPI Number for Russ C Mcdowell SR. is 1831503929 and holds a License No. 051168 (California).

The current practice location address for Russ C Mcdowell SR. is 5494 Pony Express Trail, Pollock Pines, CA and can be reached out via phone at 530-644-3758 and via fax at 530-644-3782.

Location: 5494 Pony Express Trail, Pollock Pines, CA, 95709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831503929
Provider Name
Russ C Mcdowell SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5494 Pony Express Trail, Pollock Pines, CA, 95709
Phone Number
530-644-3758
Fax Number
530-644-3782
Provider Enumeration Date
06/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051168 01 CA ADDICTION COUNSELOR CERTIFICATION BOARD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
5494 Pony Express Trail
City
Pollock Pines
State
California
Zip
95726
Phone Number
530-644-3758
Fax Number
530-644-3782
person
Provider Business Mailing Address Details
Address
5494 Pony Express Trail
City
Pollock Pines
State
California
Zip
95726
Phone Number
530-644-3758
Fax Number
530-644-3782
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
051168 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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