Individual provider · Type 1 NPI

Faurice Russeau

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1770948945 Active

Practice location

1680 N Fair Oaks Ave
Pasadena, CA 91103-1642

Call (626) 798-0884 Map

Mailing address

1680 N Lake Ave, Apt. 2
Pasadena, CA 91104-2328

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 1770948945

Faurice Russeau's National Provider Identifier is 1770948945, issued on Dec 15, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Dec 15, 2015.