Individual provider · Type 1 NPI
Angela Russo, LCPC, CADC
Professional Counselor · Mars Hill, ME
NPI number
1770828469
Active
Practice location
14 Main Street
Mars Hill, ME 04758
Mailing address
378 Development Dr
Limestone, ME 04750-6128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC4911 (ME) |
| Professional Counselor Primary | 101YP2500X | XL3802 (ME) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1770828469
Angela Russo, LCPC, CADC's National Provider Identifier is 1770828469, issued on Dec 6, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mars Hill, ME. The record was last updated on Dec 6, 2012.