Individual
DR. CAROLYN A RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D., LMHC
Contact information
Practice address
110 MAIN ST STE 104, EDMONDS, WA 98020-3180
(425) 361-7987
Mailing address
110 MAIN ST STE 104, EDMONDS, WA 98020-3180
(425) 361-7987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60320548
WA
Other
Enumeration date
03/10/2010
Last updated
03/10/2025
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