RUSSELL POWER

VISTA, CA
NPI1427533256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-27
Last Update Date2018-09-27
Business Address
Mr. RUSSELL POWER
2260 WATSON WAY
VISTA, CA 92083-7924
Phone number: 760-599-1892
Mailing Address
Mr. RUSSELL POWER
12024 WINTERCREST DR APT 1
LAKESIDE, CA 92040-3747
Phone number: 619-334-8316