| Tana Russell, CDP | |
|
4800 College St Se, Lacey, WA 98503-4389 | |
| (253) 651-1054 | |
| (360) 493-5088 |
| Full Name | Tana Russell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4800 College St Se, Lacey, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487151577 | NPI | - | NPPES |
| CP60520052 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60520052 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tana Russell, CDP 4800 College St Se, Lacey, WA 98503-4389 Ph: (253) 651-1054 | Tana Russell, CDP 4800 College St Se, Lacey, WA 98503-4389 Ph: (253) 651-1054 |
Dr. Ricky Lee Johansen Jr., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3727 Princeton Ct Se, Lacey, WA 98503 Phone: 360-357-4707 Fax: 360-357-4707 | |
Dalyn Badis, Counselor Medicare: Not Enrolled in Medicare Practice Location: Saint Raphael Center, Father Meinrad Gaul Dr Se, Lacey, WA 98503 Phone: 360-438-4367 | |
Indira Maru Melgarejo, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Sleater Kinney Rd Se Ste B353, Lacey, WA 98503 Phone: 360-401-9720 | |
Patrick William Maley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4804 Lacey Blvd Se, Lacey, WA 98503 Phone: 360-799-5782 Fax: 360-539-1715 | |
Cassidy Meyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503 Phone: 360-763-5828 | |
Mrs. Brenda L Kittrell, LMSW, ACSW, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3808 Lanyard Dr Ne, Lacey, WA 98516 Phone: 253-226-2225 | |
Leslie Morris, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5831 Lacey Blvd Se Ste G, Lacey, WA 98503 Phone: 360-402-0750 |