Individual
CAROLINA IRIGOYEN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15500 SW 127TH AVE APT 205, MIAMI, FL 33177-1458
(305) 333-9706
Mailing address
15500 SW 127TH AVE APT 205, MIAMI, FL 33177-1458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25341
FL
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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