David Lee Russell Jr., LCDP
David Lee Russell Jr., LCDP is an Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2015.
- Licensed in
- RI
- In the registry since
- 2015
Practice location Address checks out
60 Comstock AveProvidence, RI 02907-1206
Phone: (401) 699-1088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (RI) |
|---|
Record details
| NPI number | 1407234172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDP |
| Sole proprietor | No |
| NPI enumerated | May 13, 2015 |
| Last updated in NPPES | May 13, 2015 |
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