Individual
DANIELLE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 N SCOTTSDALE RD APT 4232, SCOTTSDALE, AZ 85251
(480) 531-1076
Mailing address
6424 E GREENWAY PKWY, SCOTTSDALE, AZ 85254-2045
(480) 531-1076
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-22494
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/04/2022
Last updated
09/25/2023
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