BRANDON TIMOTHY RUSSELL

SANTA ROSA, CA
NPI1538053848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-06-03
Last Update Date2025-06-11
Business Address
BRANDON TIMOTHY RUSSELL
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Mailing Address
BRANDON TIMOTHY RUSSELL
8571 BRAND LN
PENNGROVE, CA 94951-8708
Phone number: 707-241-5630
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