Russell, Crystal M

Russell, Crystal M is an sole proprietor health care provider with primary practice located at 6263 Honey Farm Way , Grove City OH 43123-3842. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Russell, Crystal M can be contacted via phone (518) 669-4302.

Contact Information

Primary practice address
6263 Honey Farm Way Grove City OH 43123-3842
Phone: (518) 669-4302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088102 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW20253 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X I.2405792-SUPV Ohio

Profile Details

NPI number 1982078481
LBN Legal business name Russell, Crystal M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2015
Last updated Dec 6th, 2025 - about last year

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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