Individual provider · Type 1 NPI

Russell Thomas

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1174040430 Active

Practice location

600 W Manchester Ave
Los Angeles, CA 90044-5770

Mailing address

23200 Western Ave
Harbor City, CA 90710-1061

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X169206 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174040430

Russell Thomas's National Provider Identifier is 1174040430, issued on Aug 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 28, 2017.