Mouttet, Kristin L. Russell

Mouttet, Kristin L. Russell is an individual health care provider with primary practice located at 10372 Democracy Ln , Fairfax VA 22030-2522. 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. Mouttet, Kristin L. Russell can be contacted via phone (703) 591-2551.

Contact Information

Primary practice address
10372 Democracy Ln Fairfax VA 22030-2522
Phone: (703) 591-2551
Fax: (703) 591-2563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001096 Virginia

Profile Details

NPI number 1861546368
LBN Legal business name Mouttet, Kristin L. Russell
Credentials M.S. , LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1861546368 NPPES
Virginia Other 239190 ANTHEM - FAIRFAX
Virginia Other 239191 ANTHEM - FAIRFAX

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