Individual
MS. RACHELLE A. B. RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
606 CORAL ST FL 3, HONOLULU, HI 96813-5135
(808) 282-8312
Mailing address
606 CORAL ST FL 2, HONOLULU, HI 96813-5135
(808) 282-8312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1312-06
HI
1041C0700X
Clinical Social Worker
Primary
3686
HI
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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