CHARLES RUSSELL HERDENER

VANCOUVER, WA
NPI1982188538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-19
Last Update Date2018-09-19
Business Address
CHARLES RUSSELL HERDENER
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
Mailing Address
CHARLES RUSSELL HERDENER
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
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