Russell, Uta

Russell, Uta is an sole proprietor health care provider with primary practice located at 732 Third Street Suite A, Davis CA 95616. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Uta can be contacted via phone (530) 400-4082.

Contact Information

Primary practice address
732 Third Street Suite A Davis CA 95616
Phone: (530) 400-4082
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW65006 California

Profile Details

NPI number 1699158188
LBN Legal business name Russell, Uta
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2015
Last updated Aug 19th, 2015 - about 11 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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