Individual provider · Type 1 NPI

Madison Nicole Russo

Mental Health Counselor · Edmonds, WA

NPI number 1750179271 Active

Practice location

123 2nd Ave S Ste 105
Edmonds, WA 98020-8457

Call (425) 678-6139 Map

Mailing address

23205 51st Ave W
Mountlake Terrace, WA 98043-4838

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750179271

Madison Nicole Russo's National Provider Identifier is 1750179271, issued on Apr 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmonds, WA. The record was last updated on Nov 10, 2025.