Martha Russo
Martha Russo is an Addiction (Substance Use Disorder) Counselor in Upland, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
916 N Mountain Ave Ste AUpland, CA 91786-3697
Phone: (909) 932-1069
Fax: (909) 932-1087
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1770913824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 26, 2013 |
| Last updated in NPPES | November 26, 2013 |
| Mailing address | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 |
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