MS. Susan K Russo, L.P.C.C.

NPI #1538292982 in El Prado, New Mexico

Provider Information

NPI Number
1538292982
Entity Type
Individual
Name
MS. Susan K Russo, L.P.C.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
L.P.C.C.
Enumeration Date
Mar 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
36 STATE RD. 522
Address 2
#6
ZIP Code
87529
Phone
(505) 737-9151

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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