Russell, Pamela

Russell, Pamela is an individual health care provider with primary practice located at 752 Blanding Blvd Ste 131 , Orange Park FL 32065-5796. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Russell, Pamela can be contacted via phone (904) 830-0737.

Contact Information

Primary practice address
752 Blanding Blvd Ste 131 Orange Park FL 32065-5796
Phone: (904) 830-0737
Fax: (904) 272-6037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1952929945
LBN Legal business name Russell, Pamela
Credentials TH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2020
Last updated Jul 7th, 2020 - 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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