Bragg, Russel R

Bragg, Russel R is an sole proprietor health care provider with primary practice located at 200 Veterans Ave , Beckley WV 25801-6444. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Bragg, Russel R can be contacted via phone (304) 255-2121.

Contact Information

Primary practice address
200 Veterans Ave Beckley WV 25801-6444
Phone: (304) 255-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X BP00945034 West Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X BP00945034 West Virginia

Profile Details

NPI number 1952875767
LBN Legal business name Bragg, Russel R
Credentials LGSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2019
Last updated Jan 15th, 2019 - about 6 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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