MRS. Tisa Bernally-russell, BSW, LSAA is an addiction (substance use disorder) counselor in Farmington, NM. MRS. Tisa Bernally-russell, BSW, LSAA NPI is 1972933844. 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:
101 W BROADWAY
SUITE D
FARMINGTON, NM
ZIP 87401-419
Phone: (505) 327-4796
The enumeration date for this NPI number is 11/13/2013 and was last updated on 11/13/2013.