Smith Russell, Angelia Brooke
Smith Russell, Angelia Brooke is an individual health care provider with primary practice located at 2204 Pacific Ave N , Long Beach WA 98631-3300. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Smith Russell, Angelia Brooke can be contacted via phone (360) 942-2303.Contact Information
Primary practice address
2204 Pacific Ave N
Long Beach WA 98631-3300
Phone: (360) 942-2303
Fax: (360) 942-5312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | RC60051978 | Washington |
Profile Details
| NPI number | 1891029724 |
|---|---|
| LBN Legal business name | Smith Russell, Angelia Brooke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2009 |
| Last updated | Sep 24th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891029724 | NPPES |
| Washington | Other | RC60051978 | RC |
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