Mrs. Lisa Marie Russell
Mrs. Lisa Marie Russell is an Addiction (Substance Use Disorder) Counselor in San Leandro, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2035 Fairmont DrSan Leandro, CA 94578-1088
Phone: (510) 346-7836
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1629800222 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 14, 2024 |
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