Russell, Nicole

Russell, Nicole is an individual health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118-4819. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Russell, Nicole can be contacted via phone (216) 932-2800.

Contact Information

Primary practice address
22001 Fairmount Blvd Shaker Heights OH 44118-4819
Phone: (216) 932-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.1000084-TRNE Ohio

Profile Details

NPI number 1770882516
LBN Legal business name Russell, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Mar 18th, 2011 - about 13 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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