Individual provider · Type 1 NPI

Patricia Renee Russo

Mental Health Counselor · Tonawanda, NY

NPI number 1114656212 Active

Practice location

100 Niagara St
Tonawanda, NY 14150-1104

Mailing address

55 Dodge Rd
Getzville, NY 14068-1205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X015556 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1114656212

Patricia Renee Russo's National Provider Identifier is 1114656212, issued on Jun 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tonawanda, NY. The record was last updated on Jan 27, 2025.