Individual provider · Type 1 NPI

Gabrielle Russo

Mental Health Counselor · Malden, MA

NPI number 1154041705 Active

Practice location

350 Cross St
Malden, MA 02148-7917

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154041705

Gabrielle Russo's National Provider Identifier is 1154041705, issued on Sep 1, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malden, MA. The record was last updated on Sep 1, 2022.