Individual
RUSSELL SASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS, JD
Contact information
Practice address
4620 MATTOS DR, FREMONT, CA 94536-6738
(510) 797-0740
Mailing address
34217 AUCKLAND PL, FREMONT, CA 94555-2326
(510) 972-8008
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
240100064
CA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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