Active NPIIndividual providerSole proprietor

Andres Russo Sr.

Community/Behavioral Health in Lawrence, Massachusetts

NPI Number1710353370
Practice location
12 School St, Lawrence, MA 01841-5042
Fax
—
Last updated
August 18, 2015

Andres Russo is a Community/Behavioral Health based in Lawrence, MA. Andres Russo practices in Lawrence, MA. The NPI Number for Andres Russo is 1710353370. The current practice location address for Andres Russo is 12 School St, Lawrence, MA 01841-5042 and can be reached out via phone at 978-382-0522.

Provider Profile Details

NPI Number
1710353370
Provider Name
Andres Russo
Provider Entity Type
Individual
Gender
Male
Address
12 School St, Lawrence, MA 01841-5042
Phone Number
978-382-0522
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2015
Last Update Date
August 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 School St
Lawrence, MA 01841-5042
Zip
01841-5042
Phone Number
978-382-0522
Lawrence, MA 01841Get directions →

Provider Business Mailing Address Details

Address
12 School St
Lawrence, MA 01841-5042
City
Lawrence
State
MA
Zip
01841-5042
Phone Number
978-382-0522

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License State (2)
MA
Taxonomy (2)
Community/Behavioral Health · 251S00000X · 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 Andres Russo Sr.?

The NPI number of Andres Russo Sr. is 1710353370. It was assigned on August 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Andres Russo Sr.?

Andres Russo Sr. is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Andres Russo Sr. practice?

The practice location is 12 School St, Lawrence, MA 01841-5042. The office can be reached at 978-382-0522 (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 1710353370 directly on the NPPES registry website.

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