BRIANNA JAYDE RUSSELL

MONROE, NC
NPI1588283816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  25982)
Enumeration Date2020-04-16
Last Update Date2020-04-16
Business Address
BRIANNA JAYDE RUSSELL
1190 W ROOSEVELT BLVD
MONROE, NC 28110-2818
Phone number: 704-296-6200
Mailing Address
BRIANNA JAYDE RUSSELL
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1100