Individual
KATHRYN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 PEACHTREE CORNERS CIR, SUITE 385, NORCROSS, GA 30092-2571
(770) 676-7748
Mailing address
4725 PEACHTREE CORNERS CIR, SUITE 385, NORCROSS, GA 30092-2571
(770) 676-7748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003761
GA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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