Individual provider · Type 1 NPI

Carol K. Russo, LMFT

Marriage & Family Therapist · Myrtle Beach, SC

NPI number 1346439742 Active

Practice location

1107 48th Ave N, Suite 111-E
Myrtle Beach, SC 29577-5443

Call (843) 254-9447 Map

Fax (843) 449-8753

Mailing address

1107 48th Ave. No., Parkway Office Plaza Suite 111-E
Myrtle Beach, SC 29577-5926

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	4054 (SC)
Marriage & Family Therapist	106H00000X	1120 (NC)

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 1346439742

Carol K. Russo, LMFT's National Provider Identifier is 1346439742, issued on Oct 22, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Feb 1, 2008.