Tisa Bernally-Russell, BSW, LSAA
Counselor, Addiction (Substance Use Disorder) in Farmington, NM. Individual provider (NPI-1).
NPI number1972933844
StatusActive
Last updated in NPPESNov 13, 2013
Details
- NPI
- 1972933844
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tisa Bernally-Russell
- Credential
- BSW, LSAA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2013
- Last updated
- Nov 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 0160331 | NM | Yes |
Practice location
101 W BroadwaySuite D
Farmington, NM 87401-6419
Phone 505-327-4796
Mailing address
Po Box 3239101 W. Broadway, Suite D
Farmington, NM 87499-3239
Phone 505-327-4796
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Farmington, NM
- Renita T Anderson, LADACNPI 1639703689
- Miranda B Bekis, LSAANPI 1801326764
- Stephanie J BenallyNPI 1023374436
- Bonham And AssociatesNPI 1720231996
- Richard David Bonham, LADACNPI 1366641326
- Marc S. Broadway, B.A., SAANPI 1043342496
- Brenda L Brown, LSAANPI 1497484901
- Vickie Busby, LADACNPI 1134543564
- Karen Kathleen Campbell, LSAANPI 1457810681
- Bobby G Candelaria, LADACNPI 1720231376
All 61 Addiction (Substance Use Disorder) Counselor providers in Farmington · All 2,079 providers in Farmington
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.