Tiara Nichol Russell is an addiction (substance use disorder) counselor in San Leandro, CA. Tiara Nichol Russell NPI is 1558969584. 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:
2035 FAIRMONT DR
SAN LEANDRO, CA
ZIP 94578-088
Phone: (866) 866-7496
The enumeration date for this NPI number is 10/12/2020 and was last updated on 10/12/2020.