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

Russell Thomas

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174040430

Russell Thomas is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

600 W Manchester Ave
Los Angeles, CA 90044-5770
Phone: (424) 703-0344
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 169206 (CA)

Record details

NPI number1174040430
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2017
Last updated in NPPESAugust 28, 2017

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