Individual
STEPHANIE JANE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 BIRD ST, OROVILLE, CA 95965-4908
(530) 552-5058
Mailing address
6 LAS PLUMAS WAY, OROVILLE, CA 95966-6922
(530) 315-2363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
02/24/2026
Last updated
04/23/2026
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