Individual
ADAM J RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
251 ESSEX PLZ, ESSEX, CT 06426-1400
(860) 638-9169
(860) 469-2938
Mailing address
251 ESSEX PLZ, ESSEX, CT 06426-1400
(860) 638-9169
(860) 469-2938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
07/03/2021
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