Individual provider · Type 1 NPI
Molly Russo
Mental Health Counselor · San Leandro, CA
NPI number
1013260736
Active
Practice location
3081 Teagarden St
San Leandro, CA 94577-5720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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- Maren Elizabeth Trotter, ASWMental Health Counselor San Leandro, CA NPI 1003421041
- Brian Augustus Bingham, MHAMental Health Counselor San Leandro, CA NPI 1003943218
- Justin SantosMental Health Counselor San Leandro, CA NPI 1013159904
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About NPI 1013260736
Molly Russo's National Provider Identifier is 1013260736, issued on Oct 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Oct 18, 2012.