Russell, Kacee

Russell, Kacee is an sole proprietor health care provider with primary practice located at 28371 El Paso Rd , Caldwell ID 83607-7521. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Kacee can be contacted via phone (208) 454-8847.

Contact Information

Primary practice address
28371 El Paso Rd Caldwell ID 83607-7521
Phone: (208) 454-8847
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC7175 Idaho

Profile Details

NPI number 1356995740
LBN Legal business name Russell, Kacee
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2019
Last updated Jul 24th, 2019 - about 6 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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