JENNIFER RUSSELL

SANTA ANA, CA
NPI1659957595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1256000617)
Enumeration Date2021-03-22
Last Update Date2021-03-22
Business Address
JENNIFER RUSSELL
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
Mailing Address
JENNIFER RUSSELL
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581