Individual provider · Type 1 NPI

Lisa Marie Russell

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

NPI number 1629800222 Active

Practice location

2035 Fairmont Dr
San Leandro, CA 94578-1088

Call (510) 346-7836 Map

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 1629800222

Lisa Marie Russell's National Provider Identifier is 1629800222, issued on Aug 14, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Leandro, CA. The record was last updated on Aug 14, 2024.