Individual provider · Type 1 NPI

Roland Italo Russoli Jr., MSW

Mental Health Counselor · Everett, WA

NPI number 1619220514 Active

Practice location

3322 Broadway
Everett, WA 98201-4425

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSA60173796 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1619220514

Roland Italo Russoli Jr., MSW's National Provider Identifier is 1619220514, issued on Oct 17, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Oct 17, 2012.