Russell, Angela L
Russell, Angela L is an individual health care provider with primary practice located at 1400 Mercantile Ln 232, Largo MD 20774-5341. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russell, Angela L can be contacted via phone (301) 583-0001.Contact Information
Primary practice address
1400 Mercantile Ln 232
Largo MD 20774-5341
Phone: (301) 583-0001
Fax: (301) 583-3403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1591 | Maryland |
Profile Details
| NPI number | 1982643094 |
|---|---|
| LBN Legal business name | Russell, Angela L |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 20th, 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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