Russell, Laura J

Russell, Laura J is an sole proprietor health care provider with primary practice located at 29 Millard Farmer Ind Blvd Suite B1, Newnan GA 30263-5821. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Russell, Laura J can be contacted via phone (678) 435-9949.

Contact Information

Primary practice address
29 Millard Farmer Ind Blvd Suite B1 Newnan GA 30263-5821
Phone: (678) 435-9949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401012348 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 008111 Georgia

Profile Details

NPI number 1679818074
LBN Legal business name Russell, Laura J
Credentials LLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2012
Last updated Dec 12th, 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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