Appleton, Russell

Appleton, Russell is an sole proprietor health care provider with primary practice located at 1121 N Olive Ave , Casa Grande AZ 85122-3418. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is his primary health care specialty. Appleton, Russell can be contacted via phone (602) 618-3756.

Contact Information

Primary practice address
1121 N Olive Ave Casa Grande AZ 85122-3418
Phone: (602) 618-3756
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BH7438 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X BH7438 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X BH7438 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X BH7438
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X BH7438 Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH7438 Arizona

Profile Details

NPI number 1386380996
LBN Legal business name Appleton, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2022
Last updated Jun 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386380996 NPPES
Arizona Other BH7438 DHS - LICENSE FOR BHRF

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