Wilkie, Russell

Wilkie, Russell is an sole proprietor health care provider with primary practice located at 901 Campisi Way Ste 350, Campbell CA 95008-2339. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wilkie, Russell can be contacted via phone (408) 529-1975.

Contact Information

Primary practice address
901 Campisi Way Ste 350 Campbell CA 95008-2339
Phone: (408) 529-1975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC29758 California

Profile Details

NPI number 1558415703
LBN Legal business name Wilkie, Russell
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Sep 10th, 2015 - about 10 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 1558415703 NPPES
California Other 1558415703 NATIONAL PROVIDER NUMBER

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