Individual provider · Type 1 NPI
Jennifer Lynn Russo, LPC, LCADC, ACS
Mental Health Counselor · Blairstown, NJ
NPI number
1073975934
Active
Practice location
13 Stillwater Rd
Blairstown, NJ 07825-9554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37PC00571300 (NJ) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00239900 (NJ) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Blairstown
About NPI 1073975934
Jennifer Lynn Russo, LPC, LCADC, ACS's National Provider Identifier is 1073975934, issued on Mar 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blairstown, NJ. The record was last updated on Apr 24, 2019.