MICHAEL JOSEPH RUSSELL

FRESNO, CA
NPI1497088157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-09-14
Last Update Date2009-09-14
Business Address
Mr. MICHAEL JOSEPH RUSSELL
4928 E CLINTON WAY SUITE 101
FRESNO, CA 93727-1526
Phone number: 559-255-8838
Mailing Address
Mr. MICHAEL JOSEPH RUSSELL
5679 N HAZEL AVE
FRESNO, CA 93711-2137
Phone number:
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