Individual provider · Type 1 NPI
Thomas J. Russell
Addiction (Substance Use Disorder) Counselor · Worcester, MA
NPI number
1023372695
Active
Practice location
44 Front St, Suite 490
Worcester, MA 01608-1733
Mailing address
519 E River St, #18
Orange, MA 01364-2106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1023372695
Thomas J. Russell's National Provider Identifier is 1023372695, issued on Jun 28, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Worcester, MA. The record was last updated on Jun 28, 2012.