Mr. Thomas Russell II
Mr. Thomas Russell II is an Addiction (Substance Use Disorder) Counselor in Long Beach, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
- Specialties on file
- 4
Practice location Address checks out
3780 Kilroy Airport WayLong Beach, CA 90806-2457
Phone: (562) 424-6015
Fax: (562) 988-6897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 76881 (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 94020370 (CA) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 94020370 (CA) |
| School Psychologist | Taxonomy 103TS0200X · Licence 101067938 (CA) |
Record details
| NPI number | 1639579675 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 27, 2014 |
| Last updated in NPPES | August 27, 2014 |
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