Active NPIIndividual provider

Diana Russo, LAC

Counselor, Mental Health in Metuchen, New Jersey

NPI Number1396483541
Practice location
15 Calvin Pl, Metuchen, NJ 08840-2450
Fax
—
Last updated
May 26, 2022

Diana Russo is a Counselor, Mental Health based in Metuchen, NJ. Diana Russo practices in Metuchen, NJ and has the professional credentials of LAC. The NPI Number for Diana Russo is 1396483541. The current practice location address for Diana Russo is 15 Calvin Pl, Metuchen, NJ 08840-2450 and can be reached out via phone at 732-549-0401.

Provider Profile Details

NPI Number
1396483541
Provider Name
Diana Russo
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
15 Calvin Pl, Metuchen, NJ 08840-2450
Phone Number
732-549-0401
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
May 26, 2022
Last Update Date
May 26, 2022
Certification Date
May 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Calvin Pl
Metuchen, NJ 08840-2450
Zip
08840-2450
Phone Number
732-549-0401
Metuchen, NJ 08840Get directions →

Provider Business Mailing Address Details

Address
15 Calvin Pl
Metuchen, NJ 08840-2450
City
Metuchen
State
NJ
Zip
08840-2450
Phone Number
732-549-0401

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Diana Russo, LAC?

The NPI number of Diana Russo, LAC is 1396483541. It was assigned on May 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Diana Russo, LAC?

Diana Russo, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Diana Russo, LAC practice?

The practice location is 15 Calvin Pl, Metuchen, NJ 08840-2450. The office can be reached at 732-549-0401 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396483541 directly on the NPPES registry website.

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