Russell, Crystal Elizabeth

Russell, Crystal Elizabeth is an individual health care provider with primary practice located at 1200 El Camino Real , South San Francisco CA 94080-3299. 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, Crystal Elizabeth can be contacted via phone (650) 742-2000.

Contact Information

Primary practice address
1200 El Camino Real South San Francisco CA 94080-3299
Phone: (650) 742-2000
Fax: (650) 742-1311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1093234460
LBN Legal business name Russell, Crystal Elizabeth
Credentials LCSW, LAADC, MSPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2017
Last updated Sep 13th, 2021 - about 3 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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