Gina Marie Russo in Fullerton - Addiction (substance Use Disorder)
Gina Marie Russo - NPI 1366658841
Gina Marie Russo is a Addiction (substance Use Disorder) in Fullerton, California. Gina Marie Russo practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gina Marie Russo is 1366658841. The last update date is 2020-10-15.
Gina Marie Russo's current location address is 218 E Commonwealth Ave, Fullerton, California. You can contact this provider via phone number 9494029596. The mailing address for Gina Marie Russo is 218 E Commonwealth Ave, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Marie Russo |
|---|---|
| Address | 218 E Commonwealth Ave, Fullerton, California |
| Phone Number | 9494029596 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | SUDCC III- |
NPI Number Detail
| NPI Number | 1366658841 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2020-10-15 |
Provider Mailing Address Detail
| Address | 218 E Commonwealth Ave |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928321911 |
| Phone Number | 9494029596 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 8109 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 196711000 | CA | -- |
Post Comment/ Review Below
What is the Gina Marie Russo's 1366658841?
The Gina Marie Russo's NPI (National Provider Identifier) Number is 1366658841. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gina Marie Russo's facilities are situated?
The facilities of Gina Marie Russo are physically located at the following address: 218 E Commonwealth Ave, Fullerton, CA, 928321911.
What is the area of specialization for Gina Marie Russo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gina Marie Russo is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366658841 to Gina Marie Russo?
The Centers for Medicare & Medicaid Services assigned the 1366658841 to Gina Marie Russo on 2007-05-14.
As of what date was the information regarding Gina Marie Russo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gina Marie Russo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-15.
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