Individual provider · Type 1 NPI
Amanda Russo, LPC
Counselor · Plano, TX
NPI number
1831753664
Active
Practice location
1701 E 15th St
Plano, TX 75074-6436
Mailing address
PO Box 261742
Plano, TX 75026-1742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 74419 (TX) |
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 1831753664
Amanda Russo, LPC's National Provider Identifier is 1831753664, issued on Apr 26, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Plano, TX. The record was last updated on Jun 11, 2019.