Individual provider · Type 1 NPI

Jeffrey Raymond Russell Ii

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

NPI number 1942858055 Active

Practice location

1003 S Beacon St
San Pedro, CA 90731-4324

Call (310) 514-4940 Map

Mailing address

3440 Torrance Blvd Ste 104
Torrance, CA 90503-5805

Other practice locations

  • 132 W 10th St, San Pedro, CA 90731-3702 · (310) 514-4940
  • 411 W 10th St, San Pedro, CA 90731-3213 · (310) 514-4940

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 1942858055

Jeffrey Raymond Russell Ii's National Provider Identifier is 1942858055, issued on Sep 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Aug 4, 2023.