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
Phone: (707) 784-4900
Fax: (707) 399-4957
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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