RUSSELL CITIZEN

LOS ANGELES, CA
NPI1336889864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-31
Last Update Date2022-03-31
Business Address
RUSSELL CITIZEN
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
Mailing Address
RUSSELL CITIZEN
801 W 70TH ST
LOS ANGELES, CA 90044-5218
Phone number: 323-242-5000
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