- Practice location
- 14 Main Street, Mars Hill, ME 04758
- Phone
- 207-425-3880
- Fax
- —
- Last updated
- December 6, 2012
Angela Russo is a Counselor, Professional based in Mars Hill, ME. Angela Russo practices in Mars Hill, ME and has the professional credentials of LCPC, CADC. The NPI Number for Angela Russo is 1770828469 and holds a License No. CAC4911 (ME). The current practice location address for Angela Russo is 14 Main Street, Mars Hill, ME 04758 and can be reached out via phone at 207-425-3880.
Provider Profile Details
- NPI Number
- 1770828469
- Provider Name
- Angela Russo
- Credential
- LCPC, CADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14 Main Street, Mars Hill, ME 04758
- Phone Number
- 207-425-3880
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 6, 2012
- Last Update Date
- December 6, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Main Street
Mars Hill, ME 04758 - City
- Mars Hill
- State
- Maine
- Zip
- 04758
- Phone Number
- 207-425-3880
Provider Business Mailing Address Details
- Address
- 378 Development Dr
Limestone, ME 04750-6128 - City
- Limestone
- State
- ME
- Zip
- 04750-6128
- Phone Number
- 303-520-4618
License Information
- License Number (1)
- CAC4911
- License State (1)
- ME
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- XL3802
- License State (2)
- ME
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Angela Russo, LCPC, CADC?
The NPI number of Angela Russo, LCPC, CADC is 1770828469. It was assigned on December 6, 2012 and is currently active in the NPPES registry.
What is the specialty of Angela Russo, LCPC, CADC?
Angela Russo, LCPC, CADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number CAC4911.
Where does Angela Russo, LCPC, CADC practice?
The practice location is 14 Main Street, Mars Hill, ME 04758. The office can be reached at 207-425-3880 (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 1770828469 directly on the NPPES registry website.