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Individual

LILY RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APCC

Contact information

Practice address
6310 SAN VICENTE BLVD, LOS ANGELES, CA 90048-5426
(213) 262-3346
(213) 946-4039
Mailing address
6310 SAN VICENTE BLVD, LOS ANGELES, CA 90048-5426
(213) 262-3346
(213) 946-4039

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
88-2437354
CA

Other

Enumeration date
08/08/2024
Last updated
08/08/2024
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