Nicole Russo
Nicole Russo is an Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
9815 Roosevelt BlvdPhiladelphia, PA 19114-1035
Phone: (616) 644-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1235647314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2018 |
| Last updated in NPPES | January 11, 2018 |
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