Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA MARIE RUSSO, SUDCC III-CS
Active Sole ProprietorGINA MARIE RUSSO, SUDCC III-CS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FULLERTON, California. NPI 1366658841 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FULLERTON, CA
Registration Details
- NPI Number
- 1366658841
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2007 (19.271635921478 yrs)
- Last Updated
- Oct 15, 2020
- License
-
8109 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
218 E COMMONWEALTH AVEFULLERTON, CA, 928321911Browse CA providers · Browse ZIP 92832
- Phone
- 7149924770
- Fax
- 7149925745
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FULLERTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JORGE JAVIER MONTOYA | — | 1912008558 |
| MR. BRIAN GREENE | — | 1669563573 |
| ANGELICA QUINTERO | — | 1669560223 |
| MR. WALT PAUL ERICKSON | — | 1730278136 |
| DEANNA BOX | — | 1245329655 |
| ISIS ROVIRA DUKE | — | 1598854689 |
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.