Bryanna Marie Jellum, SUDP
NPI #1760955272 in Kelso, Washington
Provider Information
- NPI Number
- 1760955272
- Entity Type
- Individual
- Name
- Bryanna Marie Jellum, SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP
- Enumeration Date
- Jan 7, 2019
- Last Updated
- Apr 21, 2021
Practice Location
- Address
- 404 W MAIN ST
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-1118
- Phone
- (360) 423-2806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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