Schreiber, Russell

Schreiber, Russell is an sole proprietor health care provider with primary practice located at 11000 Falstaff Rd , Sebastopol CA 95472-9114. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Schreiber, Russell can be contacted via phone (707) 292-4454.

Contact Information

Primary practice address
11000 Falstaff Rd Sebastopol CA 95472-9114
Phone: (707) 292-4454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 40650 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 23128 California

Profile Details

NPI number 1710184593
LBN Legal business name Schreiber, Russell
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Apr 25th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710184593 NPPES
California Other MFC 40650 MFT

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