Individual
MR. RUSSELL WILLIAM WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
577 E ELDER ST, B, FALLBROOK, CA 92028-3079
(760) 723-7877
(760) 723-7877
Mailing address
577 E ELDER ST, B, FALLBROOK, CA 92028-3079
(760) 723-7877
(760) 723-7877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCS17238
CA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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