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Dayna Russo
Mental Health Counselor in Centereach, New York
NPI 1508634296

Dayna Russo is a Mental Health Counselor based in Centereach, NY and is specialized in Mental Health. Dayna Russo practices in Centereach, NY. The NPI Number for Dayna Russo is 1508634296 and holds a License No. 012036 (New York).

The current practice location address for Dayna Russo is 4 Laura Dr, Centereach, NY and can be reached out via phone at 631-772-0719.

Location: 4 Laura Dr, Centereach, NY, 11720-3067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508634296
Provider Name
Dayna Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 Laura Dr, Centereach, NY, 11720-3067
Phone Number
631-772-0719
Fax Number
Provider Enumeration Date
12/13/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4 Laura Dr
City
Centereach
State
New York
Zip
11720-3067
Phone Number
631-772-0719
Fax Number
person
Provider Business Mailing Address Details
Address
4 Laura Dr
City
Centereach
State
New York
Zip
11720-3067
Phone Number
631-772-0719
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
012036 (New York)
Definition
Definition to come...
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