NICHOLAS RUSSI

NORTHRIDGE, CA
NPI1114202322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2011-10-19
Last Update Date2015-04-09
Business Address
NICHOLAS RUSSI
18417 NORDHOFF ST STE D
NORTHRIDGE, CA 91325-2276
Phone number: 818-734-2761
Mailing Address
NICHOLAS RUSSI
18417 NORDHOFF ST STE D
NORTHRIDGE, CA 91325-2276
Phone number: 818-734-2761
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