Russell, Kathy L

Russell, Kathy L is an sole proprietor health care provider with primary practice located at 907 Market St , Dayton TN 37321-1476. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russell, Kathy L can be contacted via phone (423) 570-7300.

Contact Information

Primary practice address
907 Market St Dayton TN 37321-1476
Phone: (423) 570-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC0000001626 Tennessee

Profile Details

NPI number 1447313267
LBN Legal business name Russell, Kathy L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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