Individual
ANTHONY RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
357 S GULPH RD STE 260, KING OF PRUSSIA, PA 19406-3739
(610) 892-3800
(484) 468-1412
Mailing address
357 S GULPH RD STE 260, KING OF PRUSSIA, PA 19406-3739
(610) 892-3800
(484) 468-1412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC014291
PA
101YP2500X
Professional Counselor
PC014291
PA
Other
Enumeration date
03/02/2011
Last updated
02/15/2024
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