Russell, Darsi L

Russell, Darsi L is an individual health care provider with primary practice located at 15 Union St , Milford NH 03055-4875. 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, Darsi L can be contacted via phone (603) 673-2508.

Contact Information

Primary practice address
15 Union St Milford NH 03055-4875
Fax: (603) 673-2717
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 662 New Hampshire

Profile Details

NPI number 1881717437
LBN Legal business name Russell, Darsi L
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 29th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881717437 NPPES
New Hampshire MEDICAID 30425000

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