Russum, Andrea

Russum, Andrea is an individual health care provider with primary practice located at 1820 Memorial Cir , Clarksville TN 37043-4539. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russum, Andrea can be contacted via phone (931) 436-2126.

Contact Information

Primary practice address
1820 Memorial Cir Clarksville TN 37043-4539
Phone: (931) 436-2126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1730627209
LBN Legal business name Russum, Andrea
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 9 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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