Amanda Russo, LPC
Counselor in Plano, TX. Individual provider (NPI-1).
NPI number1831753664
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1831753664
- Entity type
- Individual (NPI-1)
- Name
- Amanda Russo
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 74419 | TX | Yes |
Practice location
1701 E 15th StPlano, TX 75074-6436
Phone 972-693-4444
Mailing address
Po Box 261742Plano, TX 75026-1742
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