VINCENT RUSSO

BERKELEY, CA
NPI1487993960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-02-04
Last Update Date2013-02-04
Business Address
Mr. VINCENT RUSSO CAADAC
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 916-742-0622
Mailing Address
Mr. VINCENT RUSSO CAADAC
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 916-742-0622
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