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1861758757
JANA LYN RUSSELL
SEATTLE, WA
NPI
1861758757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00006215)
Enumeration Date
2012-04-05
Last Update Date
2014-05-21
Business Address
-- JANA LYN RUSSELL MS, CDP, MHP
1116 SUMMIT AVE
SEATTLE, WA 98101-2831
Phone number: 206-323-0930
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Mailing Address
-- JANA LYN RUSSELL MS, CDP, MHP
1611 SUMMIT AVE
SEATTLE, WA 98101
Phone number: 206-323-0930
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