Individual provider · Type 1 NPI

Ondrea Necole Russell

Counselor · San Diego, CA

NPI number 1972191757 Active

Practice location

2865 Logan Ave
San Diego, CA 92113-2411

Call (619) 275-0822 Map

Fax (619) 232-7048

Mailing address

1202 Morena Blvd Ste 100
San Diego, CA 92110-3842

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972191757

Ondrea Necole Russell's National Provider Identifier is 1972191757, issued on Jan 6, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 6, 2021.