Martin, Roxanne Harrell

Martin, Roxanne Harrell is an individual health care provider with primary practice located at 2101 Courage Dr Solano County Children'S Mental Health, Fairfield CA 94533-6717. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Martin, Roxanne Harrell can be contacted via phone (707) 784-4900.

Contact Information

Primary practice address
2101 Courage Dr Solano County Children'S Mental Health Fairfield CA 94533-6717
Fax: (707) 399-4957
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 46524 California

Profile Details

NPI number 1235291527
LBN Legal business name Martin, Roxanne Harrell
Credentials LMFT 46524
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 28th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235291527 NPPES
California Other 2582 MED-I-CAL BILLING NUMBER
California Other 4383 MED-I-CAL BILLING NUMBER

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