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Carol K Russo, LMFT
Marriage & Family Therapist in Myrtle Beach, South Carolina
NPI 1346439742

Carol K Russo is a Marriage & Family Therapist based in Myrtle Beach, SC. Carol K Russo practices in Myrtle Beach, SC and has the professional credentials of LMFT. The NPI Number for Carol K Russo is 1346439742 and holds a License No. 4054 (South Carolina).

The current practice location address for Carol K Russo is 1107 48Th Ave N, Myrtle Beach, SC and can be reached out via phone at 843-254-9447 and via fax at 843-449-8753. You can also correspond with Carol K Russo through the mailing address at 1107 48TH AVE. NO., MYRTLE BEACH, SC - 29577-5926 (mailing address contact number: 843-254-9447).

Location: 1107 48Th Ave N, Myrtle Beach, SC, 29577-5926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346439742
Provider Name
Carol K Russo
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
1107 48Th Ave N, Myrtle Beach, SC, 29577-5926
Phone Number
843-254-9447
Fax Number
843-449-8753
Provider Enumeration Date
10/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6105147 05 NC
institution
Provider Business Practice Location Address Details
Address
1107 48Th Ave N
City
Myrtle Beach
State
South Carolina
Zip
29577-5443
Phone Number
843-254-9447
Fax Number
843-449-8753
person
Provider Business Mailing Address Details
Address
1107 48Th Ave. No.
City
Myrtle Beach
State
South Carolina
Zip
29577-5926
Phone Number
843-254-9447
Fax Number
843-449-8753
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
4054 (South Carolina)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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