Individual provider · Type 1 NPI

Ginamarie Russo, LMFT, LMHC

Marriage & Family Therapist · Jacksonville, FL

NPI number 1174116016 Active

Practice location

4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187

Fax (929) 596-7897

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH23542 (FL)
Marriage & Family Therapist Primary 106H00000XMT4813 (FL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1174116016

Ginamarie Russo, LMFT, LMHC's National Provider Identifier is 1174116016, issued on Feb 11, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 13, 2025.