Individual provider · Type 1 NPI

Michael Joseph Russell

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1497088157 Active

Practice location

4928 E Clinton Way, Suite 101
Fresno, CA 93727-1526

Call (559) 255-8838 Map

Mailing address

5679 N Hazel Ave
Fresno, CA 93711-2137

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 1497088157

Michael Joseph Russell's National Provider Identifier is 1497088157, issued on Sep 14, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Sep 14, 2009.