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MS. THERESA JOANNE RUSSELL CADC-11
NPI 1255465530
Specialist in Pollock Pines, CA

Active since March 16, 2007
5494 PONY EXPRESS TRAIL, POLLOCK PINES, CA 95726(530) 664-3758(530) 644-3782 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Theresa Joanne Russell Cadc-11 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA JOANNE RUSSELL CADC-11 (NPI 1255465530) is an individual specialist in Pollock Pines, California, licensed in California (A8463203) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1255465530
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. THERESA JOANNE RUSSELLCredential: CADC-11
Location Address5494 PONY EXPRESS TRAILPollock Pines, CA 95726
Mailing Address2173 Danbury WayRancho Cordova, CA 95670-2271 · (916) 635-6791
Phone(530) 664-3758
Fax(530) 644-3782
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255465530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A8463203
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5494 PONY EXPRESS TRAIL, Pollock Pines, CA 95726
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Other Identifiers 1

OtherA8463203CA · Cadc-11

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESS HOUSE INC.
Substance Abuse Rehabilitation Facility
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
DEBBIE SALVINO RADT I
Counselor (Addiction (Substance Use Disorder))
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3782
MR. ROBERT JOHN STADELHOFER CAS
Specialist
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
ALEXA CLAIRE FILA CASI
Counselor (Addiction (Substance Use Disorder))
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
RUSS C MCDOWELL SR.
Specialist
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
SHANNON DENISE REILLY CAS
Substance Abuse Rehabilitation Facility
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
KATHLEEN TROSPER
Counselor (Addiction (Substance Use Disorder))
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Russell's NPI number?

The NPI number for Theresa Russell is 1255465530. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Theresa Russell located?

Theresa Russell practices at 5494 Pony Express Trail, Pollock Pines, CA 95726. The listed phone number is (530) 664-3758.

What is Theresa Russell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theresa Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.