person
Nicole Russo
Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania
NPI 1235647314

Nicole Russo is an Addiction (Substance Use Disorder) Counselor based in King Of Prussia, PA and is specialized in Addiction (Substance Use Disorder). Nicole Russo practices in Philadelphia, PA. The NPI Number for Nicole Russo is 1235647314 and holds a License No. (Pennsylvania).

The current practice location address for Nicole Russo is 9815 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 616-644-6464.

Location: 9815 Roosevelt Blvd, Philadelphia, PA, 19406-4023
person
Provider Profile Details
NPI Number
1235647314
Provider Name
Nicole Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
9815 Roosevelt Blvd, Philadelphia, PA, 19406-4023
Phone Number
616-644-6464
Fax Number
Provider Enumeration Date
01/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9815 Roosevelt Blvd
City
State
Zip
19114-1035
Phone Number
616-644-6464
Fax Number
person
Provider Business Mailing Address Details
Address
9815 Roosevelt Blvd
City
State
Zip
19114-1035
Phone Number
616-644-6464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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