BRANDEN RUSSELL

COLUMBUS, OH
NPI1760123145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.180083)
Enumeration Date2022-04-07
Last Update Date2022-04-07
Business Address
BRANDEN RUSSELL
3121 W BROAD ST
COLUMBUS, OH 43204-1306
Phone number: 614-869-2002
Mailing Address
BRANDEN RUSSELL
3121 W BROAD ST
COLUMBUS, OH 43204-1306
Phone number: 614-534-1100
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