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Andrea Russo, MS, LAPC

Counselor, Professional in Atlanta, GA. Individual provider (NPI-1).

NPI number1114442001
StatusActive
Last updated in NPPESJul 20, 2021

Details

NPI
1114442001
Entity type
Individual (NPI-1)
Name
Andrea Russo
Credential
MS, LAPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2017
Certification date
Jul 20, 2021
Last updated
Jul 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalAPC005667GAYes

Practice location

6595 Roswell Rd Ste G-6262
Atlanta, GA 30328-3152

Phone 678-856-6788

Mailing address

6595 Roswell Rd Ste G-6262
Atlanta, GA 30328-3152

Other practice locations

3721 Forest Glen Dr
Pensacola, FL 32504-7528

Phone 678-856-6788

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