Individual
ALANNA T RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302-0101
(802) 258-6885
(802) 258-3798
Mailing address
PO BOX 803, BRATTLEBORO, VT 05302-0803
(802) 258-6731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0126414
VT
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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