Individual provider · Type 1 NPI

Crystal Elizabeth Russell, LCSW, LAADC, MSPH

Mental Health Counselor · South San Francisco, CA

NPI number 1093234460 Active

Practice location

1200 El Camino Real
South San Francisco, CA 94080-3299

Call (650) 742-2000 Map

Fax (650) 742-1311

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093234460

Crystal Elizabeth Russell, LCSW, LAADC, MSPH's National Provider Identifier is 1093234460, issued on Sep 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South San Francisco, CA. The record was last updated on Sep 13, 2021.