Russell, Marissa Leigh

Russell, Marissa Leigh is an individual health care provider with primary practice located at 422 Alpine Dr , Wilmington NC 28403-0202. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Russell, Marissa Leigh can be contacted via phone (401) 742-1283.

Contact Information

Primary practice address
422 Alpine Dr Wilmington NC 28403-0202
Phone: (401) 742-1283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1518504562
LBN Legal business name Russell, Marissa Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2019
Last updated Dec 9th, 2019 - about 5 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.

Request for update

Popular Providers