MR. Jeffrey Raymond Russell is an addiction (substance use disorder) counselor in San Pedro, CA. MR. Jeffrey Raymond Russell NPI is 1942858055. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1003 S BEACON ST
SAN PEDRO, CA
ZIP 90731-324
Phone: (310) 514-4940
The enumeration date for this NPI number is 9/1/2019 and was last updated on 8/4/2023.