Individual
DANIELLE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
276 5TH AVE FL 5, NEW YORK, NY 10001-4527
(212) 828-7473
Mailing address
276 5TH AVE, NEW YORK, NY 10001-4509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010700
NY
Other
Enumeration date
06/01/2021
Last updated
07/12/2024
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