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1255097945
JOSHUA RUSSELL
CORVALLIS, OR
NPI
1255097945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
JOSHUA RUSSELL QMHA
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
JOSHUA RUSSELL QMHA
3030 CLEARWATER DR NE
ALBANY, OR 97321-9048
Phone number: 971-312-5492
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