Patterson, Russell Jermain
Patterson, Russell Jermain is an sole proprietor health care provider with primary practice located at 124 S Main St Ste 218 , Jonesboro GA 30236-3599. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Patterson, Russell Jermain can be contacted via phone (678) 215-8705.Contact Information
Primary practice address
124 S Main St Ste 218
Jonesboro GA 30236-3599
Phone: (678) 215-8705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1689375412 |
|---|---|
| LBN Legal business name | Patterson, Russell Jermain |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2023 |
| Last updated | Mar 17th, 2023 - about 2 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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