Individual provider · Type 1 NPI

Eileen Russo, LADC

Addiction (Substance Use Disorder) Counselor · Waterbury, CT

NPI number 1336339068 Active

Practice location

402 East Main Street
Waterbury, CT 06702

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLADC000276 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336339068

Eileen Russo, LADC's National Provider Identifier is 1336339068, issued on Jul 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterbury, CT. The record was last updated on Jul 30, 2007.