person
Ms. Kristina Lea Russo, MALMHC
Professional Counselor in Brockton, Massachusetts
NPI 1184924292

Kristina Lea Russo is a Professional Counselor based in Brockton, MA and is specialized in Professional. Kristina Lea Russo practices in Brockton, MA and has the professional credentials of MALMHC. The NPI Number for Kristina Lea Russo is 1184924292 and holds a License No. 5692 (Massachusetts).

The current practice location address for Kristina Lea Russo is 10 Meadowbrook Rd, Brockton, MA and can be reached out via phone at 508-742-4400 and via fax at 508-408-6192.

Location: 10 Meadowbrook Rd, Brockton, MA, 02301-7122
person
Provider Profile Details
NPI Number
1184924292
Provider Name
Kristina Lea Russo
Credential
MALMHC
Provider Entity Type
Individual
Gender
Female
Address
10 Meadowbrook Rd, Brockton, MA, 02301-7122
Phone Number
508-742-4400
Fax Number
508-408-6192
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Meadowbrook Rd
City
State
Zip
02301-7122
Phone Number
508-742-4400
Fax Number
508-408-6192
person
Provider Business Mailing Address Details
Address
10 Meadowbrook Rd
City
State
Zip
02301-7122
Phone Number
508-742-4400
Fax Number
508-408-6192
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5692 (Massachusetts)
Definition
Definition to come...
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