BRYANNA MARIE JELLUM

KELSO, WA
NPI1760955272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  60279397)
Enumeration Date2019-01-07
Last Update Date2021-04-21
Business Address
BRYANNA MARIE JELLUM SUDP
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
Mailing Address
BRYANNA MARIE JELLUM SUDP
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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