Individual
VALERIE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
317 W 6TH ST, SUITE 208, MOSCOW, ID 83843-2321
(208) 882-5960
Mailing address
ALLIANCE FAMILY SERVICES NORTH, 608 S DIVISION, SANDPOINT, IDAHO 83864
(208) 265-8195
(208) 265-8327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 4309
ID
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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