| Latasha Nicole Russell, | |
|
18646 Oxnard St, Tarzana Treatment Centers, Tarzana, CA 91356-1411 | |
| (818) 996-1051 | |
| Not Available |
| Full Name | Latasha Nicole Russell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 18646 Oxnard St, Tarzana, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386932507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Latasha Nicole Russell, 18646 Oxnard St, Tarzana Treatment Centers, Tarzana, CA 91356-1411 Ph: (818) 996-1051 | Latasha Nicole Russell, 18646 Oxnard St, Tarzana Treatment Centers, Tarzana, CA 91356-1411 Ph: (818) 996-1051 |
Nicole Marian Johnstone, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3950 | |
Gregory Paul Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Sara Andrea Vides, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
David Heiserman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 747-224-0384 Fax: 818-960-4087 | |
Miss Shannon Mehdian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 310-422-8991 | |
Alene Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Adrian L Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 |