Individual provider · Type 1 NPI
Adam J. Russo, MS
Mental Health Counselor · Essex, CT
NPI number
1104281369
Active
Practice location
251 Essex Plz
Essex, CT 06426-1400
Fax (860) 469-2938
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 1104281369
Adam J. Russo, MS's National Provider Identifier is 1104281369, issued on Dec 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Essex, CT. The record was last updated on Jul 3, 2021.