Individual
JESSICA DAWN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CH.T, MA, NBC-HWC,
Contact information
Practice address
300 S BEVERLY DR STE 203, BEVERLY HILLS, CA 90212-4805
(310) 801-6211
Mailing address
300 S BEVERLY DR STE 203, BEVERLY HILLS, CA 90212-4805
(310) 801-6211
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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