Russell, Laura
Russell, Laura is an individual health care provider with primary practice located at 8259 Baltimore Annapolis Blvd , Pasadena MD 21122-1237. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Russell, Laura can be contacted via phone (410) 630-1064.Contact Information
Primary practice address
8259 Baltimore Annapolis Blvd
Pasadena MD 21122-1237
Phone: (410) 630-1064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA3275 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC200003320 | District of Columbia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 26312 | Maryland |
Profile Details
| NPI number | 1770118028 |
|---|---|
| LBN Legal business name | Russell, Laura |
| Credentials | LCSW-C LCADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2020 |
| Last updated | May 3rd, 2024 - about 2 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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