Individual provider · Type 1 NPI

Michael Anthony Russo

Addiction (Substance Use Disorder) Counselor · Rockaway, NJ

NPI number 1720835150 Active

Practice location

25 W Main St Ste A
Rockaway, NJ 07866-3435

Call (973) 625-1143 Map

Fax (973) 625-8048

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1720835150

Michael Anthony Russo's National Provider Identifier is 1720835150, issued on May 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rockaway, NJ. The record was last updated on May 3, 2024.