Russell, Cecilia Jo

Russell, Cecilia Jo is an individual health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Russell, Cecilia Jo can be contacted via phone (785) 239-7000.

Contact Information

Primary practice address
650 Huebner Rd Fort Riley KS 66442-4030
Phone: (785) 239-7000
Fax: (630) 570-5779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4201 Kansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1558509133
LBN Legal business name Russell, Cecilia Jo
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Sep 29th, 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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