Russell, Christy Marie

Russell, Christy Marie is an sole proprietor health care provider with primary practice located at 908 5Th Ave Se , Olympia WA 98501-1507. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Peer Specialist is her primary health care specialty. Russell, Christy Marie can be contacted via phone (360) 878-4809.

Contact Information

Primary practice address
908 5Th Ave Se Olympia WA 98501-1507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CG61325552 Washington
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1154924579
LBN Legal business name Russell, Christy Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2020
Last updated Aug 2nd, 2022 - about 2 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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