Russ, Yvonne Marie
Russ, Yvonne Marie is an sole proprietor health care provider with primary practice located at 124 The Ridge Ct , Newnan GA 30265-1186. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russ, Yvonne Marie can be contacted via phone (706) 573-1058.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC010434 | Georgia |
Profile Details
| NPI number | 1922251933 |
|---|---|
| LBN Legal business name | Russ, Yvonne Marie |
| Credentials | LPC, CMAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2008 |
| Last updated | Aug 11th, 2023 - about last year |
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 | 1922251933 | NPPES |
| Georgia | Other | 1628-R | CERTIFIED ADDICTION COUNSELOR |
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