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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 169206 (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.