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Individual

RENEE NICOLE RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
5360 HOLIDAY TER STE 16A, KALAMAZOO, MI 49009-2126
(269) 224-2339
Mailing address
PO BOX 334, NAZARETH, MI 49074-0334
(269) 224-2339

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/13/2016
Last updated
07/25/2023
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