Russell, Jaizane Alexis

Russell, Jaizane Alexis is an individual health care provider with primary practice located at 30 Northwest Ave Ste 120 , Tallmadge OH 44278-1808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Russell, Jaizane Alexis can be contacted via phone (330) 633-4187.

Contact Information

Primary practice address
30 Northwest Ave Ste 120 Tallmadge OH 44278-1808
Phone: (330) 633-4187
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1903283 Ohio

Profile Details

NPI number 1982189247
LBN Legal business name Russell, Jaizane Alexis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2018
Last updated Feb 7th, 2019 - about 7 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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