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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. THERESA JOANNE RUSSELL, CADC-11

Active

MS. THERESA JOANNE RUSSELL, CADC-11 is a Specialist healthcare provider located in POLLOCK PINES, California. NPI 1255465530 is currently active in the NPPES registry. Verify at CMS.

Specialist · POLLOCK PINES, CA

Registration Details

NPI Number
1255465530
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2007 (19.41110282353 yrs)
Last Updated
Jul 8, 2007
License
A8463203 (CA)

Practice Information

Address
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA, 95726
Browse CA providers · Browse ZIP 95726
Phone
5306643758
Fax
5306443782
Primary Specialty
Specialist
174400000X

Other Specialist Providers in POLLOCK PINES, CA

Name Credential NPI
DR. JOSEPH CREE TAYLOR MD 1932295714
MR. ROBERT JOHN STADELHOFER CAS 1699899708
RUSS C MCDOWELL SR. 1831503929
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.