Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Charles Russoniello

Individual provider Counselor · NPI 1215607494

Matthew Charles Russoniello is a Counselor in Spokane, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

400 S Jefferson St Ste 200
Spokane, WA 99204-3143
Phone: (509) 768-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 107 S Division St, Spokane, WA 99202-1510 — (509) 838-4651

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFTA.MG.61551477 (WA)
Counselor Taxonomy 101Y00000X · Licence CG61220659 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215607494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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