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Individual

MS. NERISSA RUSSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
552 WASHINGTON ST, KEENE, NH 03431-2046
(978) 419-2400
(978) 419-2588
Mailing address
552 WASHINGTON ST, KEENE, NH 03431-2046
(603) 313-7945

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0127631
VT
101YM0800X
Mental Health Counselor

Other

Enumeration date
09/16/2014
Last updated
07/19/2021
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