Individual provider · Type 1 NPI

Micheal Dean Axley Russ

Addiction (Substance Use Disorder) Counselor · Chico, CA

NPI number 1285170795 Active

Practice location

590 Rio Lindo Ave
Chico, CA 95926-1817

Mailing address

116 Innsbrook Way, Apt 13
Chico, CA 95973-0257

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1285170795

Micheal Dean Axley Russ's National Provider Identifier is 1285170795, issued on Jan 9, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chico, CA. The record was last updated on Jan 9, 2017.