Russell, Labrea

Russell, Labrea is an sole proprietor health care provider with primary practice located at 770 Village Square Dr , Stone Mountain GA 30083-3380. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russell, Labrea can be contacted via phone (404) 418-2190.

Contact Information

Primary practice address
770 Village Square Dr Stone Mountain GA 30083-3380
Phone: (404) 418-2190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X APC0075551 Georgia

Profile Details

NPI number 1184320004
LBN Legal business name Russell, Labrea
Credentials LAPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2023
Last updated Feb 2nd, 2023 - about 3 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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