RUSSCHELLE WILSON

BEAVER, WV
NPI1780331736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-09
Last Update Date2022-03-09
Business Address
RUSSCHELLE WILSON
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262
Mailing Address
RUSSCHELLE WILSON
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262