Individual provider · Type 1 NPI

David Lee Russell Jr., LCDP

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1407234172 Active

Practice location

60 Comstock Ave
Providence, RI 02907-1206

Call (401) 699-1088 Map

Mailing address

60 Comstock Avenue
Providence, RI 02907

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 1407234172

David Lee Russell Jr., LCDP's National Provider Identifier is 1407234172, issued on May 13, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on May 13, 2015.