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Russell B Weiner, SUDPT
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1194593525

Russell B Weiner is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Russell B Weiner practices in Chehalis, WA and has the professional credentials of SUDPT. The NPI Number for Russell B Weiner is 1194593525 and holds a License No. CO61395630 (Washington).

The current practice location address for Russell B Weiner is 500 Se Washington Ave, Chehalis, WA and can be reached out via phone at 360-748-4776.

Location: 500 Se Washington Ave, Chehalis, WA, 98532-3058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194593525
Provider Name
Russell B Weiner
Credential
SUDPT
Provider Entity Type
Individual
Gender
Male
Address
500 Se Washington Ave, Chehalis, WA, 98532-3058
Phone Number
360-748-4776
Fax Number
Provider Enumeration Date
12/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider Business Mailing Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-748-4776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CO61395630 (Washington)
Definition
Definition to come...
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