Individual provider · Type 1 NPI

Peggy L. Russell

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1770739229 Active

Practice location

3707 E Shields Ave
Fresno, CA 93726-7029

Call (559) 229-9040 Map

Fax (559) 229-9060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC6191214 (CA)

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

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About NPI 1770739229

Peggy L. Russell's National Provider Identifier is 1770739229, issued on Aug 15, 2008. 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 Mar 10, 2025.