Individual
KATHLEEN A RUSSO-GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
5407 N CHARLES ST, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
Mailing address
5407 N CHARLES ST, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC00886
MD
Other
Enumeration date
10/05/2012
Last updated
10/09/2012
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