Russel Albert Arnett III, CADC-II, ICADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · San Jacinto, CA
NPI 1508105461 · NPPES record last updated Feb 12, 2013
Key facts
- NPI
- 1508105461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CERT. # A36984987 (CA)
- Practice address
- 1391 Rojo LN
San Jacinto, CA 92582-4203 - Phone
- (951) 852-7700
- NPI assigned
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT. # A36984987 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CERT. # A36984987 | CA | Yes |
Addresses
Primary practice location
1391 Rojo LN
San Jacinto, CA 92582-4203
Mailing address
1391 Rojo LN
San Jacinto, CA 92582-4203
Phone (951) 852-7700
Other providers in San Jacinto, CA
- Apple Urgent Care, Inc.
- Oluwatoni Janet Arene
- Muhammad Arif
- Suhaila Mahjabeen Arif
- Ashlei Armstead
- Alyana Arrington-Harris
- Paulo C Arroyo
- Jessie Francisco Artagame
- Nagasamudra Shamarao Ashok
- Bridget Austin
All providers in San Jacinto, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.