Individual provider · Type 1 NPI

Leslie Kim Russo, QMHP

Mental Health Counselor · Grants Pass, OR

NPI number 1073335667 Active

Practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

68 other providers at this address

Other mental health counselor providers in Grants Pass

See all in Grants Pass →

About NPI 1073335667

Leslie Kim Russo, QMHP's National Provider Identifier is 1073335667, issued on Oct 25, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 25, 2024.