Russell, Mary Katherine

Russell, Mary Katherine is an individual health care provider with primary practice located at 6711 Arlington Ave Suite B, Riverside CA 92504-1955. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Mary Katherine can be contacted via phone (951) 352-4964.

Contact Information

Primary practice address
6711 Arlington Ave Suite B Riverside CA 92504-1955
Phone: (951) 352-4964
Fax: (951) 352-4965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC 36287 California

Profile Details

NPI number 1801946405
LBN Legal business name Russell, Mary Katherine
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 20th, 2013 - about 11 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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