Individual
SALVATORE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
11270 E 13 MILE RD, WARREN, MI 48093-2599
(586) 738-9320
(586) 751-3201
Mailing address
11270 E 13 MILE RD, WARREN, MI 48093-2599
(586) 738-9320
(586) 751-3201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401015475
MI
101YP2500X
Professional Counselor
Primary
6401015475
MI
Other
Enumeration date
06/24/2016
Last updated
11/24/2020
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