MS. CRYSTAL ELIZABETH RUSSELL LCSW LAADC MSPH NPI 1093234460

NPI Information

MS. Crystal Elizabeth Russell, LCSW, LAADC, MSPH is a mental health counselor in South San Francisco, CA. MS. Crystal Elizabeth Russell, LCSW, LAADC, MSPH NPI is 1093234460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA
ZIP 94080-299
Phone: (650) 742-2000
Fax: (650) 742-1311

The NPI 1093234460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 9/16/2017 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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