Elissa S Russell
Counselor in Yakima, WA. Individual provider (NPI-1).
NPI number1265738470
StatusActive
Last updated in NPPESApr 15, 2016
Details
- NPI
- 1265738470
- Entity type
- Individual (NPI-1)
- Name
- Elissa S Russell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2011
- Last updated
- Apr 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CG60211057 | WA | Yes |
Practice location
618 Pickens RdYakima, WA 98908-1841
Phone 509-945-6076
Mailing address
618 Pickens RdYakima, WA 98908-1841
Phone 509-945-6076
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