Individual provider · Type 1 NPI

Robert Russo Jr., PC

Mental Health Counselor · Cranston, RI

NPI number 1245480045 Active

Practice location

311 Doric Ave
Cranston, RI 02910-2903

Fax (401) 783-3636

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245480045

Robert Russo Jr., PC's National Provider Identifier is 1245480045, issued on Sep 29, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cranston, RI. The record was last updated on Sep 29, 2008.