Russell, Robert David
Russell, Robert David is an sole proprietor health care provider with primary practice located at 6488 Spring St Suite 201, Douglasville GA 30134-1895. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Russell, Robert David can be contacted via phone (770) 949-1595.Contact Information
Primary practice address
6488 Spring St Suite 201
Douglasville GA 30134-1895
Phone: (770) 949-1595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC004424 | Georgia |
Profile Details
| NPI number | 1194861666 |
|---|---|
| LBN Legal business name | Russell, Robert David |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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