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Dr. Nancy Russo, LMHC
Mental Health Counselor in Palatka, Florida
NPI 1881691087

Nancy Russo is a Mental Health Counselor based in Palatka, FL and is specialized in Mental Health. Nancy Russo practices in Palatka, FL and has the professional credentials of LMHC. The NPI Number for Nancy Russo is 1881691087 and holds a License No. MH6919 (Florida).

The current practice location address for Nancy Russo is 330 Kay Larkin Dr, Palatka, FL and can be reached out via phone at 386-385-1243.

Location: 330 Kay Larkin Dr, Palatka, FL, 32177-2307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881691087
Provider Name
Nancy Russo
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
330 Kay Larkin Dr, Palatka, FL, 32177-2307
Phone Number
386-385-1243
Fax Number
Provider Enumeration Date
07/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019791100 05 FL
institution
Provider Business Practice Location Address Details
Address
330 Kay Larkin Dr
City
Palatka
State
Florida
Zip
32177-2307
Phone Number
386-385-1243
Fax Number
person
Provider Business Mailing Address Details
Address
330 Kay Larkin Dr
City
Palatka
State
Florida
Zip
32177-2307
Phone Number
386-385-1243
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH6919 (Florida)
Definition
Definition to come...
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