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Ms. Nicole Russo
Mental Health Counselor in Grants Pass, Oregon
NPI 1992133490

Nicole Russo is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Nicole Russo practices in Grants Pass, OR. The NPI Number for Nicole Russo is 1992133490 and holds a License No. (Oregon).

The current practice location address for Nicole Russo is 715 Sw Ramsey Ave, Grants Pass, OR and can be reached out via phone at 541-956-5579.

Location: 715 Sw Ramsey Ave, Grants Pass, OR, 97527-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992133490
Provider Name
Nicole Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
715 Sw Ramsey Ave, Grants Pass, OR, 97527-5500
Phone Number
541-956-5579
Fax Number
Provider Enumeration Date
10/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
715 Sw Ramsey Ave
City
Grants Pass
State
Oregon
Zip
97527-5500
Phone Number
541-956-5579
Fax Number
person
Provider Business Mailing Address Details
Address
715 Sw Ramsey Ave
City
Grants Pass
State
Oregon
Zip
97527-5500
Phone Number
541-956-5579
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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