Russell, Brian

Russell, Brian is an individual health care provider with primary practice located at 4823 N Royal Atlanta Dr C, Tucker GA 30084-3806. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Russell, Brian can be contacted via phone (770) 939-2121.

Contact Information

Primary practice address
4823 N Royal Atlanta Dr C Tucker GA 30084-3806
Phone: (770) 939-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 55815 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004391 Georgia

Profile Details

NPI number 1407078603
LBN Legal business name Russell, Brian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Feb 20th, 2015 - about 11 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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