TANA RUSSELL

LACEY, WA
NPI1487151577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60520052)
Enumeration Date2018-04-06
Last Update Date2018-04-06
Business Address
TANA RUSSELL CDP
4800 COLLEGE ST SE
LACEY, WA 98503-4389
Phone number: 253-651-1054
Mailing Address
TANA RUSSELL CDP
4800 COLLEGE ST SE
LACEY, WA 98503-4389
Phone number: 253-651-1054
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