ADRIAN ANITA RUSSELL

PHOENIX, AZ
NPI1376063149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  13352)
Enumeration Date2017-06-22
Last Update Date2018-06-16
Business Address
MS. ADRIAN ANITA RUSSELL LASAC
2400 N CENTRAL AVE STE 101
PHOENIX, AZ 85004-1300
Phone number: 602-264-9891
Mailing Address
MS. ADRIAN ANITA RUSSELL LASAC
6615 NORTH 17TH AVE APT B2 6615 NORTH 17TH AVE APT B2
PHOENIX, AZ 85015
Phone number: 480-751-0488
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