Individual provider · Type 1 NPI

Mary Russo

Counselor · Marlton, NJ

NPI number 1639818388 Active

Practice location

925 Route 73 N Ste H
Marlton, NJ 08053-1277

Call (609) 713-8763 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1639818388

Mary Russo's National Provider Identifier is 1639818388, issued on Jun 1, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Marlton, NJ. The record was last updated on Jun 1, 2022.