FAURICE RUSSEAU

PASADENA, CA
NPI1770948945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-12-15
Last Update Date2015-12-15
Business Address
-- FAURICE RUSSEAU
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
Mailing Address
-- FAURICE RUSSEAU
1680 N LAKE AVE APT. 2
PASADENA, CA 91104-2328
Phone number: 626-627-2499
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