Individual provider · Type 1 NPI
Angela Russo, LMHC, CASAC-T
Mental Health Counselor · Staten Island, NY
NPI number
1184993560
Active
Practice location
3911 Richmond Ave
Staten Island, NY 10312-5110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26780 (NY) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1184993560
Angela Russo, LMHC, CASAC-T's National Provider Identifier is 1184993560, issued on Dec 14, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Nov 12, 2014.