Russell, Ralph J
Russell, Ralph J is an individual health care provider with primary practice located at Rr 1 Box 67 , Harlem MT 59526-9705. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Russell, Ralph J can be contacted via phone (406) 353-3100.Contact Information
Primary practice address
Rr 1 Box 67
Harlem MT 59526-9705
Phone: (406) 353-3100
Fax: (406) 353-3229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 175 LCSW | Montana |
Profile Details
| NPI number | 1649394008 |
|---|---|
| LBN Legal business name | Russell, Ralph J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Feb 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649394008 | NPPES |
| Montana | Other | 175 LCSW | LICENSE |
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