Russell, Kathleen

Russell, Kathleen is an sole proprietor health care provider with primary practice located at 27 Bailey Ct , Middle Island NY 11953-1321. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Kathleen can be contacted via phone (631) 345-3267.

Contact Information

Primary practice address
27 Bailey Ct Middle Island NY 11953-1321
Phone: (631) 345-3267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072586-1 New York

Profile Details

NPI number 1477873925
LBN Legal business name Russell, Kathleen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2010
Last updated Jun 8th, 2010 - about 14 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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