Russell, Karen Elizabeth
Russell, Karen Elizabeth is an individual health care provider with primary practice located at 1925 Hayes Ave , Sandusky OH 44870-4737. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Russell, Karen Elizabeth can be contacted via phone (419) 557-5177.Contact Information
Primary practice address
1925 Hayes Ave
Sandusky OH 44870-4737
Phone: (419) 557-5177
Fax: (419) 557-5169
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 01110 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E0003775 | Ohio |
Profile Details
NPI number | 1417282021 |
---|---|
LBN Legal business name | Russell, Karen Elizabeth |
Credentials | PCC-S, LCDC III |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2009 |
Last updated | Oct 15th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417282021 | NPPES |
Ohio | Other | 011110 | LICENSED PROFESSIONAL CHEMICAL DEPENDENCY COUNSELOR III |
Ohio | Other | E0003775 | LICENSED PROFESSIONAL CHEMICAL DEPENDENCY COUNSELOR III |
Ohio | Other | ICADC 23847 | LICENSED PROFESSIONAL CHEMICAL DEPENDENCY COUNSELOR III |
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