Individual
BRINA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
24275 JEFFERSON AVE, MURRIETA, CA 92562-7285
(951) 677-5599
Mailing address
26829 TRUMBLE RD, MENIFEE, CA 92585-8852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103447
CA
Other
Enumeration date
08/04/2022
Last updated
08/22/2022
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