Individual
ANDREA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAPC
Contact information
Practice address
6595 ROSWELL RD STE G-6262, ATLANTA, GA 30328-3152
(678) 856-6788
Mailing address
6595 ROSWELL RD STE G-6262, ATLANTA, GA 30328-3152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005667
GA
Other
Enumeration date
08/11/2017
Last updated
07/20/2021
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