Organization
JOHN MICHAEL RUSSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL RUSSO LCSW (OWNER)
(412) 515-5746
Entity
Organization
Contact information
Practice address
6315 FORBES AVE STE 125C, PITTSBURGH, PA 15217-1745
(412) 515-5746
Mailing address
111 N PARK ST, MONROEVILLE, PA 15146-4013
(412) 515-5746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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