Michael Anthony Russo
Michael Anthony Russo is an Addiction (Substance Use Disorder) Counselor in Rockaway, New Jersey. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
25 W Main St Ste ARockaway, NJ 07866-3435
Phone: (973) 625-1143
Fax: (973) 625-8048
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1720835150 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 3, 2024 |
| Last updated in NPPES | May 3, 2024 |
| Certification date | May 3, 2024 |
| Mailing address | 25 W Main St Ste A, Rockaway, NJ 07866-3435 |
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