Reed, Russell

Reed, Russell is an sole proprietor health care provider with primary practice located at 4250 Fowler Ln Ste 204 , Diamond Springs CA 95619-9782. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Reed, Russell can be contacted via phone (530) 626-3105.

Contact Information

Primary practice address
4250 Fowler Ln Ste 204 Diamond Springs CA 95619-9782
Phone: (530) 626-3105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 100786 California

Profile Details

NPI number 1881076396
LBN Legal business name Reed, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2015
Last updated Jun 7th, 2021 - about 4 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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