Russell, Cameron

Russell, Cameron is an individual health care provider with primary practice located at 40 Orrs Ln , Triadelphia WV 26059-1455. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Russell, Cameron can be contacted via phone (304) 809-9865.

Contact Information

Primary practice address
40 Orrs Ln Triadelphia WV 26059-1455
Phone: (304) 809-9865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1760226476
LBN Legal business name Russell, Cameron
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2024
Last updated Jun 19th, 2024 - about 2 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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