Individual provider · Type 1 NPI
Jennifer Lynn Russo
Mental Health Counselor · East Quogue, NY
NPI number
1386551752
Active
Practice location
7 Corbett Ct
East Quogue, NY 11942-3819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 098575-01 (NY) |
Mental Health Counselor: Definition to come...
About NPI 1386551752
Jennifer Lynn Russo's National Provider Identifier is 1386551752, issued on Aug 24, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Quogue, NY. The record was last updated on Aug 24, 2026.