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Renee Russo
Mental Health Counselor in Watsonville, California
NPI 1730433954

Renee Russo is a Mental Health Counselor based in Watsonville, CA and is specialized in Mental Health. Renee Russo practices in Watsonville, CA. The NPI Number for Renee Russo is 1730433954 and holds a License No. (California).

The current practice location address for Renee Russo is 2716 Freedom Blvd, Watsonville, CA and can be reached out via phone at 831-688-5300.

Location: 2716 Freedom Blvd, Watsonville, CA, 95076-1027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730433954
Provider Name
Renee Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2716 Freedom Blvd, Watsonville, CA, 95076-1027
Phone Number
831-688-5300
Fax Number
Provider Enumeration Date
11/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
2716 Freedom Blvd
City
Watsonville
State
California
Zip
95076-1027
Phone Number
831-688-5300
Fax Number
person
Provider Business Mailing Address Details
Address
2716 Freedom Blvd
City
Watsonville
State
California
Zip
95076-1027
Phone Number
831-688-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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