person
Ms. Eileen Russo, LADC
Addiction (Substance Use Disorder) Counselor in Waterbury, Connecticut
NPI 1336339068

Eileen Russo is an Addiction (Substance Use Disorder) Counselor based in Waterbury, CT and is specialized in Addiction (Substance Use Disorder). Eileen Russo practices in Waterbury, CT and has the professional credentials of LADC. The NPI Number for Eileen Russo is 1336339068 and holds a License No. LADC000276 (Connecticut).

The current practice location address for Eileen Russo is 402 East Main Street, Waterbury, CT and can be reached out via phone at 203-755-1143. You can also correspond with Eileen Russo through the mailing address at 402 EAST MAIN STREET, WATERBURY, CT - 06702 (mailing address contact number: 203-755-1143).

Location: 402 East Main Street, Waterbury, CT, 06702
person
Provider Profile Details
NPI Number
1336339068
Provider Name
Eileen Russo
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
402 East Main Street, Waterbury, CT, 06702
Phone Number
203-755-1143
Fax Number
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402 East Main Street
City
State
Zip
06702
Phone Number
203-755-1143
Fax Number
person
Provider Business Mailing Address Details
Address
402 East Main Street
City
State
Zip
06702
Phone Number
203-755-1143
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LADC000276 (Connecticut)
Definition
Definition to come...
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