Russell, Bethany C

Russell, Bethany C is an individual health care provider with primary practice located at 116 State St , Augusta ME 04330-5632. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Russell, Bethany C can be contacted via phone (207) 877-1041.

Contact Information

Primary practice address
116 State St Augusta ME 04330-5632
Phone: (207) 877-1041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC22511 Maine

Profile Details

NPI number 1427621044
LBN Legal business name Russell, Bethany C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2021
Last updated Jul 17th, 2023 - about 3 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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