Russin, Ellen Russin J
Russin, Ellen Russin J is an sole proprietor health care provider with primary practice located at 667 Lytton Ave , Palo Alto CA 94301-1335. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russin, Ellen Russin J can be contacted via phone (650) 566-0061.Contact Information
Primary practice address
667 Lytton Ave
Palo Alto CA 94301-1335
Phone: (650) 566-0061
Fax: (650) 473-6801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS6935 | California |
Profile Details
| NPI number | 1891821963 |
|---|---|
| LBN Legal business name | Russin, Ellen Russin J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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