Individual provider · Type 1 NPI

David E. Russ, M.S.W.

Mental Health Counselor · San Leandro, CA

NPI number 1174965677 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800X61870 (CA)
Social Worker 104100000X61870 (CA)

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About NPI 1174965677

David E. Russ, M.S.W.'s National Provider Identifier is 1174965677, issued on Jul 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Sep 17, 2015.