Russell, Paul A
Russell, Paul A is an sole proprietor health care provider with primary practice located at 4236 W Phelps Rd , Lake City MI 49651-9338. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Russell, Paul A can be contacted via phone (616) 215-2231.Contact Information
Primary practice address
4236 W Phelps Rd
Lake City MI 49651-9338
Phone: (616) 215-2231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401012403 | Michigan |
Profile Details
| NPI number | 1871887372 |
|---|---|
| LBN Legal business name | Russell, Paul A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2011 |
| Last updated | Apr 16th, 2025 - about last year |
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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