Dawson, Russell Dean
Dawson, Russell Dean is an sole proprietor health care provider with primary practice located at 1800 Gravenstein Hwy N , Sebastopol CA 95472-2607. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Dawson, Russell Dean can be contacted via phone (707) 823-7300.Contact Information
Primary practice address
1800 Gravenstein Hwy N
Sebastopol CA 95472-2607
Phone: (707) 823-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF # 52460 | California |
Profile Details
| NPI number | 1306029319 |
|---|---|
| LBN Legal business name | Dawson, Russell Dean |
| Credentials | MFT INTERN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Jun 7th, 2010 - about 14 years ago |
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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