Most Relevant Information
Provider Data
| NPI Number: | 1003478355 |
| Provider Name: | CHLOE RUSSELL PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 225C00000X |
| Specialty: | Rehabilitation Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2019 |
| Last Updated: | 11/08/2022 |
Provider Practice Location
1301 PINE AVE
LONG BEACH
CA
908133124
Practice Location Phone/Fax
| Phone: | 5625951159 |
| Fax: |
Provider Mailing Location
1301 PINE AVE
LONG BEACH
CA
908133124
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |