Russell, Nicholas Aaron

Russell, Nicholas Aaron is an individual health care provider with primary practice located at 1909 Cuba Ave Ste 1 , Alamogordo NM 88310-5646. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Russell, Nicholas Aaron can be contacted via phone (575) 404-1593.

Contact Information

Primary practice address
1909 Cuba Ave Ste 1 Alamogordo NM 88310-5646
Phone: (575) 404-1593
Fax: (575) 404-1593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E0700288S Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0700288S Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X 0206781 New Mexico

Profile Details

NPI number 1588984603
LBN Legal business name Russell, Nicholas Aaron
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Aug 16th, 2023 - about last year

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

Identifiers

StateTypeNumberIssuer
All States NPI 1588984603 NPPES
Other 14499905 CAQH
MEDICAID 47279061 CAQH
Other E0700288S CAQH
Other CCMH0206781 CAQH

Popular Providers