JENIFER LYNN RUSSELL

SAN DIEGO, CA
NPI1124865944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-07-09
Last Update Date2025-03-06
Business Address
JENIFER LYNN RUSSELL RADT
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
Mailing Address
JENIFER LYNN RUSSELL RADT
1554 SAMS HILL RD APT 13
EL CAJON, CA 92021-3075
Phone number: 858-717-6858
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