Russell, Thomas A.

Russell, Thomas A. is an sole proprietor health care provider with primary practice located at 788 Lexington Avenue Heritage Christian Counseling Ministries, Mansfield OH 44907. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Russell, Thomas A. can be contacted via phone (419) 756-2828.

Contact Information

Primary practice address
788 Lexington Avenue Heritage Christian Counseling Ministries Mansfield OH 44907
Phone: (419) 756-2828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E3714 Ohio

Profile Details

NPI number 1376727446
LBN Legal business name Russell, Thomas A.
Credentials M.A., M.ED., PCCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 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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