RUSSELL B WEINER

CHEHALIS, WA
NPI1194593525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61395630)
Enumeration Date2023-12-14
Last Update Date2023-12-14
Business Address
RUSSELL B WEINER SUDPT
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
Mailing Address
RUSSELL B WEINER SUDPT
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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