Dean, Russell Robert
Dean, Russell Robert is an sole proprietor health care provider with primary practice located at 405 Mackenzie Cir , Saint Augustine FL 32092-3434. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Dean, Russell Robert can be contacted via phone (904) 545-0759.Contact Information
Primary practice address
405 Mackenzie Cir
Saint Augustine FL 32092-3434
Phone: (904) 545-0759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH5113 | Florida |
Profile Details
| NPI number | 1023346590 |
|---|---|
| LBN Legal business name | Dean, Russell Robert |
| Credentials | M.S., LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2009 |
| Last updated | Nov 22nd, 2009 - about 15 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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