LISA MARIE RUSSELL

SAN LEANDRO, CA
NPI1629800222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-08-14
Last Update Date2024-08-14
Business Address
Mrs. LISA MARIE RUSSELL
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
Mailing Address
Mrs. LISA MARIE RUSSELL
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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