JENIFER RUSSELL

SAN DIEGO, CA
NPI1124865944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-07-09
Last Update Date2024-07-09
Business Address
JENIFER RUSSELL SUDCC
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-849-8665
Mailing Address
JENIFER RUSSELL SUDCC
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-849-8665