Thomas J Russell
NPI #1023372695 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1023372695
- Entity Type
- Individual
- Name
- Thomas J Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 28, 2012
- Last Updated
- Jun 28, 2012
Practice Location
- Address
- 44 FRONT ST
- Address 2
- SUITE 490
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608-1733
- Phone
- (508) 799-2934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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