Individual
MRS. NANCY I. RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
600 HILLSIDE AVE, CHARLOTTE, NC 28209-2127
(704) 527-2026
Mailing address
3691 STONEFIELD ST SW, CONCORD, NC 28027-9200
(704) 795-3032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1065
NC
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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