Justin Russell
NPI #1841420304 in Carmichael, California
Provider Information
- NPI Number
- 1841420304
- Entity Type
- Individual
- Name
- Justin Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jul 19, 2009
- Last Updated
- Jul 19, 2009
Practice Location
- Address
- 6147 SUTTER AVE
- City
- Carmichael
- State
- California
- ZIP Code
- 95608-2738
- Phone
- (916) 971-7640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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