Russell, Erica Rose

Russell, Erica Rose is an individual health care provider with primary practice located at 16579 Los Gatos Almaden Road , Los Gatos CA 95032. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Russell, Erica Rose can be contacted via phone (408) 384-8404.

Contact Information

Primary practice address
16579 Los Gatos Almaden Road Los Gatos CA 95032
Phone: (408) 384-8404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF65551 California
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC897 California

Profile Details

NPI number 1386985661
LBN Legal business name Russell, Erica Rose
Credentials LPC-897
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2013
Last updated Jun 8th, 2018 - about 7 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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