Individual
DR. CHLOE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33788
CA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2019
Last updated
11/08/2022
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