Active NPIIndividual providerSole proprietor

Salenna Russello, TLLP

Psychologist, Counseling in Saint Joseph, Michigan

NPI Number1780127183
Practice location
1030 Miners RD, Saint Joseph, MI 49085-9625
Fax
269-408-1692
Last updated
December 2, 2016

Salenna Russello is a Psychologist, Counseling based in Saint Joseph, MI. Salenna Russello practices in Saint Joseph, MI and has the professional credentials of TLLP. The NPI Number for Salenna Russello is 1780127183 and holds a License No. 6301016962 (MI). The current practice location address for Salenna Russello is 1030 Miners RD, Saint Joseph, MI 49085-9625 and can be reached out via phone at 269-408-1688 and via fax at 269-408-1692.

Provider Profile Details

NPI Number
1780127183
Provider Name
Salenna Russello
Credential
TLLP
Provider Entity Type
Individual
Gender
Female
Address
1030 Miners RD, Saint Joseph, MI 49085-9625
Phone Number
269-408-1688
Fax Number
269-408-1692
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2016
Last Update Date
December 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1030 Miners RD
Saint Joseph, MI 49085-9625
Zip
49085-9625
Phone Number
269-408-1688
Fax Number
269-408-1692
Saint Joseph, MI 49085Get directions →

Provider Business Mailing Address Details

Address
146 Maurice Blvd
Rio Grande, NJ 08242-1228
City
Rio Grande
State
NJ
Zip
08242-1228
Phone Number
609-602-6597

License Information

License Number
6301016962
License State
MI
Taxonomy
Psychologist, Counseling · 103TC1900X · 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 Salenna Russello, TLLP?

The NPI number of Salenna Russello, TLLP is 1780127183. It was assigned on December 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Salenna Russello, TLLP?

Salenna Russello, TLLP is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in MI under license number 6301016962.

Where does Salenna Russello, TLLP practice?

The practice location is 1030 Miners RD, Saint Joseph, MI 49085-9625. The office can be reached at 269-408-1688 (phone) or 269-408-1692 (fax).

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 1780127183 directly on the NPPES registry website.

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