Tiara Nichol Russell
Tiara Nichol Russell is an Addiction (Substance Use Disorder) Counselor in San Leandro, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2035 Fairmont DrSan Leandro, CA 94578-1088
Phone: (866) 866-7496
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1558969584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2020 |
| Last updated in NPPES | October 12, 2020 |
| Certification date | October 12, 2020 |
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