Russell, Alisa
Russell, Alisa is an individual health care provider with primary practice located at 15 Spencer Ave Nw , Concord NC 28025-4316. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Alisa can be contacted via phone (704) 795-7600.Contact Information
Primary practice address
15 Spencer Ave Nw
Concord NC 28025-4316
Phone: (704) 795-7600
Fax: (704) 795-7601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2008 | North Carolina |
Profile Details
| NPI number | 1710101209 |
|---|---|
| LBN Legal business name | Russell, Alisa |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 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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