MICHELLE RUSSELL

SAN PABLO, CA
NPI1326406034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2016-02-09
Last Update Date2016-02-09
Business Address
MICHELLE RUSSELL
1901 CHURCH LN
SAN PABLO, CA 94806-3707
Phone number: 510-236-3134
Mailing Address
MICHELLE RUSSELL
1022 AMBERWOOD CT
ANTIOCH, CA 94531-7419
Phone number: 925-446-2690
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