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

MS. Theresa Joanne Russell, CADC-11

Individual provider Specialist · NPI 1255465530

MS. Theresa Joanne Russell, CADC-11 is a Specialist in Pollock Pines, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

5494 Pony Express Trl
Pollock Pines, CA 95726
Phone: (530) 664-3758
Fax: (530) 644-3782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A8463203 (CA)

Record details

NPI number1255465530
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-11
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007

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