Individual provider · Type 1 NPI

Karleen Russ

Mental Health Counselor · Fort Pierce, FL

NPI number 1588912927 Active

Practice location

4500 W Midway Rd
Fort Pierce, FL 34981-4823

Call (772) 978-6370 Map

Fax (772) 978-6369

Mailing address

1206 N 20th St
Fort Pierce, FL 34950-5735

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1588912927

Karleen Russ's National Provider Identifier is 1588912927, issued on Aug 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Pierce, FL. The record was last updated on Aug 15, 2012.