Russell B Weiner, SUDPT
NPI #1194593525 in Chehalis, Washington
Provider Information
- NPI Number
- 1194593525
- Entity Type
- Individual
- Name
- Russell B Weiner, SUDPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDPT
- Enumeration Date
- Dec 14, 2023
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 500 SE WASHINGTON AVE
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-3058
- Phone
- (360) 748-4776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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