Individual provider · Type 1 NPI

Emily Rose Russo, LMSW

Mental Health Counselor · Waterbury, CT

NPI number 1104532316 Active

Practice location

855 Lakewood Rd
Waterbury, CT 06704-5408

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104532316

Emily Rose Russo, LMSW's National Provider Identifier is 1104532316, issued on Jan 31, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterbury, CT. The record was last updated on Jan 31, 2023.