Russell, Charles Joseph

Russell, Charles Joseph is an sole proprietor health care provider with primary practice located at 315 N Lakemont Ave , Winter Park FL 32792-3205. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Russell, Charles Joseph can be contacted via phone (407) 421-5602.

Contact Information

Primary practice address
315 N Lakemont Ave Winter Park FL 32792-3205
Phone: (407) 421-5602
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1568724003
LBN Legal business name Russell, Charles Joseph
Credentials BA, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 14 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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