IndividualActive
Adrian Russell, LASAC
NPI 1376063149 · Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
Provider details
- NPI number
- 1376063149
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LASAC
- Sex
- Female
- Sole proprietor
- No
- License
- 13352 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2400 N Central Ave Ste 101
Phoenix, AZ 85004-1300
Phone: (602) 264-9891
Fax: (602) 234-2639
Approximate (ZIP-level) locationGet directions
Mailing address
6615 North 17th Ave Apt B2
Phoenix, AZ 85015
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.