BRENDON RUSSELL

SCHENECTADY, NY
NPI1285034397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  29859)
Enumeration Date2014-08-26
Last Update Date2014-08-26
Business Address
BRENDON RUSSELL
600 FRANKLIN ST
SCHENECTADY, NY 12305-2107
Phone number: 518-372-7031
Mailing Address
BRENDON RUSSELL
PO BOX 147153
BOSTON, MA 02241-4153
Phone number: 518-952-8140