GINA MARIE RUSSO

FULLERTON, CA
NPI1366658841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  8109)
Enumeration Date2007-05-14
Last Update Date2020-10-15
Business Address
GINA MARIE RUSSO SUDCC III-CS
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
Mailing Address
GINA MARIE RUSSO SUDCC III-CS
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 949-402-9596
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