Russell, Daniel Ray
Russell, Daniel Ray is an individual health care provider with primary practice located at 519 Dr Martin Luther King Jr Dr W , Starkville MS 39759-2816. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Russell, Daniel Ray can be contacted via phone (662) 323-5588.Contact Information
Primary practice address
519 Dr Martin Luther King Jr Dr W
Starkville MS 39759-2816
Phone: (662) 323-5588
Fax: (662) 323-5588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1575 | Mississippi |
Profile Details
| NPI number | 1326288440 |
|---|---|
| LBN Legal business name | Russell, Daniel Ray |
| Credentials | MS, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2009 |
| Last updated | Apr 14th, 2011 - about 13 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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