Individual
MRS. GIANNA NICOLE RUSSO-MITMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(702) 706-1811
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(702) 706-1811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
MI0511
NV
106H00000X
Marriage & Family Therapist
Primary
T1319
OR
Other
Enumeration date
05/06/2014
Last updated
04/19/2024
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