Individual
REBECCA L RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
30 PECK RD, TORRINGTON, CT 06790-6123
(203) 558-5061
(203) 558-5061
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
12/28/2012
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