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1285034397
BRENDON RUSSELL
SCHENECTADY, NY
NPI
1285034397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 29859)
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
BRENDON RUSSELL
600 FRANKLIN ST
SCHENECTADY, NY 12305-2107
Phone number: 518-372-7031
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Mailing Address
BRENDON RUSSELL
PO BOX 147153
BOSTON, MA 02241-4153
Phone number: 518-952-8140
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