JODIE L RUSSELL

PARKERSBURG, WV
NPI1568673374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WV  06-207)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
-- JODIE L RUSSELL CIS
184 HOLIDAY HILLS DR
PARKERSBURG, WV 26104-8006
Phone number: 304-420-2400
Mailing Address
-- JODIE L RUSSELL CIS
184 HOLIDAY HILLS DR
PARKERSBURG, WV 26104-8006
Phone number: 304-420-2400
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