Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eugene Russell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750100558

Eugene Russell is a Student in an Organized Health Care Education/Training Program in Oceanside, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1701 Mission Ave Ste 230
Oceanside, CA 92058-7110
Phone: (760) 721-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 Camino Del Rio S Ste 300, San Diego, CA 92108-3567 — (619) 287-8225

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 21404 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1750100558
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2024
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address1701 Mission Ave Ste 230, Oceanside, CA 92058-7110

Other providers in Oceanside