Russell, Pamela Dawn

Russell, Pamela Dawn is an sole proprietor health care provider with primary practice located at 6 S 2Nd St Suite 712 , Yakima WA 98901-2629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Pamela Dawn can be contacted via phone (509) 490-2584.

Contact Information

Primary practice address
6 S 2Nd St Suite 712 Yakima WA 98901-2629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60458616 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X 60458616 Washington

Profile Details

NPI number 1639296205
LBN Legal business name Russell, Pamela Dawn
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Aug 25th, 2021 - about 4 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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