Individual
CHRISTINE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LMHC
Contact information
Practice address
222 W MISSION AVE STE 122, SPOKANE, WA 99201-2345
(509) 842-0067
Mailing address
222 W MISSION AVE STE 122, SPOKANE, WA 99201-2345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60713467
WA
1041C0700X
Clinical Social Worker
Primary
LW60888074
WA
Other
Enumeration date
12/03/2015
Last updated
09/18/2019
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