Andres Russo Sr.
Andres Russo Sr. is a Mental Health Counselor in Lawrence, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
12 School StLawrence, MA 01841-5042
Phone: (978) 382-0522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (MA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1710353370 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2015 |
| Last updated in NPPES | August 18, 2015 |
| Mailing address | 12 School St, Lawrence, MA 01841-5042 |
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