Russell, Shannon Rebecca
Russell, Shannon Rebecca is an individual health care provider with primary practice located at 434 Scott Blvd Life Point Solutions, Covington KY 41011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Shannon Rebecca can be contacted via phone (859) 547-5777.Contact Information
Primary practice address
434 Scott Blvd Life Point Solutions
Covington KY 41011
Phone: (859) 547-5777
Fax: (859) 655-4882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1366858557 |
|---|---|
| LBN Legal business name | Russell, Shannon Rebecca |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2014 |
| Last updated | Oct 8th, 2019 - about 7 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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