Individual
DANIELLE M RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
2825 7TH ST, TUSCALOOSA, AL 35401-1807
(205) 718-0538
Mailing address
2825 7TH ST, TUSCALOOSA, AL 35401-1807
(205) 718-0538
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
A210
AL
Other
Enumeration date
08/10/2018
Last updated
02/22/2020
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