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Molly Russo
Mental Health Counselor in San Leandro, California
NPI 1013260736

Molly Russo is a Mental Health Counselor based in San Leandro, CA and is specialized in Mental Health. Molly Russo practices in San Leandro, CA. The NPI Number for Molly Russo is 1013260736 and holds a License No. (California).

The current practice location address for Molly Russo is 3081 Teagarden St, San Leandro, CA and can be reached out via phone at 510-347-4620.

Location: 3081 Teagarden St, San Leandro, CA, 94577-5720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013260736
Provider Name
Molly Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
3081 Teagarden St, San Leandro, CA, 94577-5720
Phone Number
510-347-4620
Fax Number
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3081 Teagarden St
City
San Leandro
State
California
Zip
94577-5720
Phone Number
510-347-4620
Fax Number
person
Provider Business Mailing Address Details
Address
3081 Teagarden St
City
San Leandro
State
California
Zip
94577-5720
Phone Number
510-347-4620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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