Russell, Ceirra Alise
Russell, Ceirra Alise is an sole proprietor health care provider with primary practice located at 610 S Burdick St , Kalamazoo MI 49007-5221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Ceirra Alise can be contacted via phone (269) 381-3700.Contact Information
Primary practice address
610 S Burdick St
Kalamazoo MI 49007-5221
Phone: (269) 381-3700
Fax: (269) 381-3810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801094383 | Michigan |
Profile Details
| NPI number | 1487991972 |
|---|---|
| LBN Legal business name | Russell, Ceirra Alise |
| Credentials | LLMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2013 |
| Last updated | Jan 3rd, 2013 - about 13 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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