Individual
HELANA M RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,LCADC
Contact information
Practice address
616 SEABREEZE AVE, EGG HARBOR TWP, NJ 08234-9674
(609) 365-0909
Mailing address
36 DAVIS RD, SALEM, NJ 08079
(609) 365-0909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00241600
NJ
101YP2500X
Professional Counselor
Primary
37LP00747500
NJ
Other
Enumeration date
08/19/2016
Last updated
03/07/2021
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