Individual provider · Type 1 NPI

Michelle Russell

Addiction (Substance Use Disorder) Counselor · San Pablo, CA

NPI number 1326406034 Active

Practice location

1901 Church Ln
San Pablo, CA 94806-3707

Call (510) 236-3134 Map

Mailing address

1022 Amberwood Ct
Antioch, CA 94531-7419

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 1326406034

Michelle Russell's National Provider Identifier is 1326406034, issued on Feb 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pablo, CA. The record was last updated on Feb 9, 2016.