RUSSELL THOMAS

LOS ANGELES, CA
NPI1174040430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  169206)
Enumeration Date2017-08-28
Last Update Date2017-08-28
Business Address
RUSSELL THOMAS
600 W MANCHESTER AVE
LOS ANGELES, CA 90044-5770
Phone number: 424-703-0344
Mailing Address
RUSSELL THOMAS
23200 WESTERN AVE
HARBOR CITY, CA 90710-1061
Phone number: 424-703-0344
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