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1053913210
SHANNON RUSSELL
OLYMPIA, WA
NPI
1053913210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60981062)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
SHANNON RUSSELL LMHC
1314 BIGELOW AVE NE
OLYMPIA, WA 98506-4302
Phone number: 360-486-6440
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Mailing Address
SHANNON RUSSELL LMHC
1314 BIGELOW AVE NE
OLYMPIA, WA 98506-4302
Phone number:
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