Elissa S Russell

NPI 1265738470 - Counselor - 101Y00000X

NPI Details
NPI 1265738470
Gender Female
Enumeration Date 02/04/2011
Last Updated 04/15/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
618 PICKENS RD
YAKIMA WA, 98908-1841, US
Phone (509) 945-6076
Fax
Business Location
618 PICKENS RD
YAKIMA WA, 98908-1841, US
Phone (509) 945-6076
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Washington
License Number CG60211057
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According to our database, Elissa S Russell NPI is 1265738470, taxonomy code is 101Y00000X and license number is CG60211057, license state is located at Washington. Elissa S Russell physically located at 618 Pickens Rd, Yakima WA, 98908-1841. NPI Number Elissa S Russell has the Individual type.

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1265738470 NPI number is provided on an as is basis without warranty of any kind. 1265738470 is maintained by the National Plan & Provider Enumeration System. The contents of Elissa S Russell are for informational purposes only.