Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA RUSSO, LCPC, CADC
Active Sole ProprietorANGELA RUSSO, LCPC, CADC is a Professional Counselor healthcare provider located in MARS HILL, Maine. NPI 1770828469 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MARS HILL, ME
Registration Details
- NPI Number
- 1770828469
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2012 (13.666124665521 yrs)
- Last Updated
- Dec 6, 2012
- Licenses
-
CAC4911 (ME)XL3802 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 MAIN STREETMARS HILL, ME, 04758Browse ME providers · Browse ZIP 04758
- Phone
- 2074253880
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.