Russell, Kristen Donna
Russell, Kristen Donna is an individual health care provider with primary practice located at 500 Vine St Capitol Region Mental Health Center, Hartford CT 06112-1639. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Kristen Donna can be contacted via phone (860) 293-6330.Contact Information
Primary practice address
500 Vine St Capitol Region Mental Health Center
Hartford CT 06112-1639
Phone: (860) 293-6330
Fax: (860) 297-0915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006269 | Connecticut |
Profile Details
| NPI number | 1669534624 |
|---|---|
| LBN Legal business name | Russell, Kristen Donna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | May 5th, 2016 - about 8 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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