Russo, Rachel A
Russo, Rachel A is an individual health care provider with primary practice located at 2 Waterside Xing Ste 401 , Windsor CT 06095-1588. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Russo, Rachel A can be contacted via phone (860) 731-5522.Contact Information
Primary practice address
2 Waterside Xing Ste 401
Windsor CT 06095-1588
Phone: (860) 731-5522
Fax: (860) 731-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1518489517 |
|---|---|
| LBN Legal business name | Russo, Rachel A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2017 |
| Last updated | Aug 16th, 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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