ERIC BERNARD RUSSELL

MORENO VALLEY, CA
NPI1104648534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
(Licence: CA  126347)
Enumeration Date2024-10-28
Last Update Date2025-01-03
Business Address
ERIC BERNARD RUSSELL
15740 TURNBERRY ST
MORENO VALLEY, CA 92555-4903
Phone number: 951-363-8449
Mailing Address
ERIC BERNARD RUSSELL
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596