Russ, Jonnie

Russ, Jonnie is an individual health care provider with primary practice located at 762 W Cypress Ave Jonnie Russ, San Dimas CA 91773-3505. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Russ, Jonnie can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
762 W Cypress Ave Jonnie Russ San Dimas CA 91773-3505
Phone: (909) 599-1227
Fax: (909) 599-4157
Website:
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Health care specialties

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

Profile Details

NPI number 1366566556
LBN Legal business name Russ, Jonnie
Credentials MFTI
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated May 15th, 2013 - about 11 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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