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Riley Rosemary Russo
Mental Health Counselor in Laguna Beach, California
NPI 1932950219

Riley Rosemary Russo is a Mental Health Counselor based in Austin, CA and is specialized in Mental Health. Riley Rosemary Russo practices in Laguna Beach, CA. The NPI Number for Riley Rosemary Russo is 1932950219 and holds a License No. (California).

The current practice location address for Riley Rosemary Russo is 146 Crescent Bay Dr, Laguna Beach, CA and can be reached out via phone at 949-237-1555.

Location: 146 Crescent Bay Dr, Laguna Beach, CA, 78705-3911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932950219
Provider Name
Riley Rosemary Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
146 Crescent Bay Dr, Laguna Beach, CA, 78705-3911
Phone Number
949-237-1555
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
146 Crescent Bay Dr
City
Laguna Beach
State
California
Zip
92651-1321
Phone Number
949-237-1555
Fax Number
person
Provider Business Mailing Address Details
Address
146 Crescent Bay Dr
City
Laguna Beach
State
California
Zip
92651-1321
Phone Number
949-237-1555
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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