Individual provider · Type 1 NPI

Katherine Russo, ACSW

Mental Health Counselor · Rancho Cucamonga, CA

NPI number 1841733029 Active

Practice location

9570 Center Ave Ste 100
Rancho Cucamonga, CA 91730-5814

Call (909) 980-4755 Map

Other practice locations

  • 859 Willard St, Quincy, MA 02169-7482 · (617) 745-2703

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XASW77827 (CA)
Mental Health Counselor Primary 101YM0800XASW77827 (CA)

Mental Health Counselor: Definition to come...

16 other providers at this address

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About NPI 1841733029

Katherine Russo, ACSW's National Provider Identifier is 1841733029, issued on Nov 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Nov 19, 2018.