Individual provider · Type 1 NPI

Monica Russo, LICSW, CDP

Addiction (Substance Use Disorder) Counselor · Seattle, WA

NPI number 1629546916 Active

Practice location

1700 Airport Way S
Seattle, WA 98134-1618

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLW60419759 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00003499 (WA)

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

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About NPI 1629546916

Monica Russo, LICSW, CDP's National Provider Identifier is 1629546916, issued on Nov 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Seattle, WA. The record was last updated on Nov 7, 2018.