Individual provider · Type 1 NPI
Matteo Russoniello
Mental Health Counselor · Chicago, IL
NPI number
1053237602
Active
Practice location
4233 N Paulina St Apt 1W
Chicago, IL 60613-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1053237602
Matteo Russoniello's National Provider Identifier is 1053237602, issued on Jun 27, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jun 27, 2026.