Individual provider · Type 1 NPI

Carol Anne Russo, LMHC NCC

Professional Counselor · Cape Coral, FL

NPI number 1679852834 Active

Practice location

4818 Coronado Pkwy, Suite 3
Cape Coral, FL 33904-9592

Call (239) 772-5091 Map

Mailing address

2721 SW 38th St
Cape Coral, FL 33914-4893

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XMH 10590 (FL)
Professional Counselor 101YP2500X37PC00018400 (NJ)

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About NPI 1679852834

Carol Anne Russo, LMHC NCC's National Provider Identifier is 1679852834, issued on Aug 5, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cape Coral, FL. The record was last updated on Aug 5, 2011.